Intramedullary Spinal Cord Metastases from Differentiated Thyroid Cancer, a Case Report.
Fabio VolpeLeandra PiscopoMariarosaria ManganelliMaria FalzaranoFederica VolpicelliCarmela NappiMassimo ImbriacoAlberto CuocoloMichele KlainPublished in: Life (Basel, Switzerland) (2022)
Intramedullary spinal cord metastases (ISCM) are uncommon metastases of the spinal cord. Magnetic resonance (MR) plays an important role in surgical planning when ISCM is suspected in the differential diagnosis. The incidence of ISCM is expected to increase due to the longer survival of cancer patients as well as the widespread use of MR in the diagnosis of neurological syndromes. The management of these patients is controversial because of the multiple clinical presentations and lack of controlled studies on the efficacy of different therapeutic approaches. Increased awareness of this rare entity may lead to an earlier diagnosis with novel imaging approaches at a stage when neurological deficits are reversible. A case of ISCM in a 49-year-old patient with differentiated thyroid cancer is reported.
Keyphrases
- spinal cord
- magnetic resonance
- spinal cord injury
- neuropathic pain
- end stage renal disease
- contrast enhanced
- newly diagnosed
- ejection fraction
- chronic kidney disease
- high resolution
- prognostic factors
- traumatic brain injury
- risk factors
- case report
- pulmonary embolism
- peritoneal dialysis
- computed tomography
- magnetic resonance imaging
- patient reported outcomes
- brain injury
- free survival
- young adults