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Spinal Pain
Anesthesia and Pain Medicine 2012;7(3):217-220.
Published online July 31, 2012.
Back pain with erectile dysfunction: A case report
Sang Baeg Heo, Woo Young Park, Jae Hoon Kim, Kyung Bong Yoon
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
A 42-year-old male was referred to our pain clinic with back pain. Four years ago, he was treated for back pain caused by falling down injury. He also complained of erectile dysfunction, which was regarded as having psychologic origin at other departments. He had grade IV leg weakness and left lower thoracic paravertebral tenderness. Thoracic CT, plane X-ray and whole body bone scan revealed normal findings. After diagnostic medial branch block at lower thoracic vertebra, pain was subsided partially, but erectile dysfunction persisted. Due to persistent symptoms, we ordered MRI, and the extramedullary mass at T9 level was found. He had undergone neurosurgical operation for tumor removal, and pathologic finding was Schwannoma. After the operation his symptoms improved completely. Although erectile dysfunctions are presumed to have psychologic origin frequently, we report a patient whose symptoms were from the spinal cord tumor.
Key Words: Back pain, Erectile dysfunction, Extramedullary mass, Schwannoma

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