Bilateral calf hypertrophy following post-traumatic cauda equina lesion

We report a 45-year-old male, epileptic, who sustained trauma to his back following a seizure episode. This was complicated by cauda equina lesion with partially recovering paraparesis. Progressive asymmetrical gross enlargement of the patient's legs, particularly calf muscles, was observed at subsequent follow-up. The differential diagnosis and pathogenesis of muscle hypertrophy in such a case is discussed