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General Spine Zahir K Javeri, MD, Evelyn Sklar, MD, Non ASSR Member Excerpta Extraordinaire Mentor Award: No Institution where work was conducted University of Miami/Jackson Memorial Hospital Affiliation and Department University of Miami/Jackson Memorial Hospital Address 1611 NW 12 Avenue WW-279 Miami, Florida 33136 Phone: 214-454-4788 Email: [email protected] Purpose: To report a rare case of intradural renal cell metastasis to a nerve root which mimicked a benign lesion. Case Report: The patient is a 50 year old male with past medical history of metastatic renal cell carcinoma status post right nephrectomy and right middle and lower lobectomies of the lung in November 2003. The patient also developed a duodenal recurrence and underwent a Whipple procedure in February 2008. In November 2005, the patient developed mild left back pain and sciatica. Physical exam revealed a left S1 radiculopathy which worsened over time. 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