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JOURNAL OF NEUROSURGICAL SCIENCES

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Journal of Neurosurgical Sciences 2000 June;44(2):99-101

language: English

Intramedullary spinal cord metastasis. A case report

Isla A., Paz J. M., Sansivirini F., Zamora P., Garcia Grande A., Fernandez A.

Services of Neurosurgery, Radiotherapy and Neuroradiology, Hospital “La Paz”, Madrid, Spain


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This 54-­year-­old ­patient ­with a ­breast car­ci­no­ma of ­one ­year’s evo­lu­tion pre­sent­ed a pro­gres­sive par­a­par­e­sis ­and sphinc­ter dis­reg­u­la­tion of a ­week evo­lu­tion; ­MRI ­image ­showed a ­tumor in ­the medul­lary ­conus. She ­improved ­after remov­al of ­the ­conus ­mass. The his­to­log­ic diag­no­sis ­was metas­ta­sis of aden­o­car­cin­o­ma. Metastasis at ­this lev­el is infre­quent ­and rep­re­sents ­less ­than 1% of ­all spi­nal metas­ta­ses. When ­the ­patients’ gen­er­al con­di­tion is ­good, sur­gery ­can ­relieve ­the neu­ro­log­ic def­i­cit pro­duced by ­the medul­lary ­mass.

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