Intramedullary spinal cord metastasis of lung cancer presenting with acute urinary retention: a case report

Cenk Ahmet SEN, Erkan SAHIN, Cagatay ARSLAN
172 147

Öz


Intramedullary spinal cord metastasis is a rare entity. In this
case report , we described an 82-year-old male patient with lung
cancer who developed acute urinary retention during palliative
radiotherapy for painful rib metastases. Left lower limb paresis
occurred subsequently. Magnetic resonance imaging (MRI) scan
revealed intramedullary spinal cord metastasis at the 11th-12th
thoracic spine level. We decided to give steroid treatment and
apply palliative radiotherapy. Spinal cord compression is generally
seen due to vertebral metastases and compression fractures.
Intramedullary spinal cord metastasis is a rare entity with only case
reports in the literature. We aim to draw attention to this rare entity
and increase awareness among physicians.
Keywords: Intramedullary spinal cord metastasis, Acute urinary
retention, Lung cancer


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DOI: http://dx.doi.org/10.5472/MMJcr.2903.05

Referanslar


Chason JL, Walker FB, Landers JM. Metastatic carcinoma in

the central nervous system and dorsal root ganglia. Cancer

;16:781–7. doi: 10.1002/1097-0142(196306)16:6<781.

Costigan DA, Winkelman MD. Intramedullary spinal

cord metastasis. A clinicopathological study of 13 cases. J

Neurosurg 1985;62:227–33.

Sung WS, Sung MJ, Chan JH, et al. Intramedullary spinal

cord metastases: a 20-year institutional experience with

a comprehensive literature review. World Neurosurg

;79:576-84. doi: 10.1016/j.wneu.2012.04.005

Hashii H, Mizumoto M, Kanemoto A, et al. Radiotherapy

for patients with symptomatic intramedullary spinal cord

metastasis. J Radiat Res 2011;52:641–5. doi: 10.1269/

jrr.10187.

Kalayci M, Cagavi F, Gul S, et al. Intramedullary spinal cord

metastases: diagnosis and treatment and illustrated review.

Acta Neurochir (Wien) 2004;146:1347-54. doi: 10.1007/

s00701-004-0386-1.

Lee SS, Kim MK, Sym SJ, et al. Intramedullary Spinal Cord

Metastases: A Single-Institution Experience. J Neurooncol

;84:85-9. doi: 10.1007/s11060-007-9345-z.

Payer S, Mende KC, Westphal M, et al. Intramedullary spinal

cord metastases: an increasingly common diagnosis. Neurosurg

Focus 2015;39:E15. doi: 10.3171/2015.5.FOCUS15149.

Grasso G, Meli F, Patti R, et al. Intramedullary spinal cord

tumor presenting as the initial manifestation of metastatic

colon cancer: case report and review of the literature. Spinal

Cord 2007;45:793-96. doi: 1362-4393/07

Willis RA. The spread of tumors in the human body. London:

J&A Churchill, 1934.

Edelson RN, Deck MD, Posner JB. Intramedullary spinal cord

metastases. Clinical and radiographic findings in nine cases.

Neurology 1972;22:1222-31. doi:10.1212/WNL.22.12.1222

Schiff D, O’Neill BP. Intramedullary spinal cord metastases:

clinical features and treatment outcome. Neurology

;47:906-12. doi:10.1212/WNL.47.4.906

Loughrey GJ, Collins CD, Todd SM, et al. Magnetic

resonance imaging in the management of suspected spinal

canal disease in patients with known malignancy. Clin Radiol

;55:849-55. doi: 10.1053/crad.2000.0547

Kaya RA, Dalkilic T, Ozer F, et al. Intramedullary spinal cord

metastasis: a rare and devastating complication of cancertwo

case reports. Neurologia Medico Chirurgica (Tokyo)

;43:612-5. doi: 10.2176/nmc.43.612




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