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allied
academies
Journal of Neurology and Neurorehabilitation Research | Volume 3
August 23-24, 2018 | Paris, France
Neurology and Neurological Disorders
18
th
International Conference on
Intramedullary metastasis of pulmonary carcinoma: Case report
Rachid Brahim Ghoul, Haddadi Y, M Nebbal, R Agoune
and
R Trad Khodja
Algiers Hospital Hca, Algeria
Background:
Intramedullary spinal cord metastasis (IMM)
of pulmonary carcinoma are extremely rare. Review of the
literature reveals only 300 cases documented.
Case description:
A 54-year-old man K.S, a medical radiology
technician, with history of chronic tobacco use presented
with progressive tetraparsis with predominant weakness of
the left limbs for 03 Months
Radiologic explorations:
Resonance Imaging (MRI) of the
cervical spine showed intradural intramedullary tumor at the
spinal level of C4-C5.
The Treatment:
In order to ovoid tetraplegia the patient
underwent surgery with a total macroscopic tumor removal.
Histopathology:
Diagnosis of metastatic carcinoma,
Thoracic CT showed a 1,27 X 1,42cm right hilar nodule.
The patient was advised Chemotherapy and Radiation by
oncologists.
Discussion:
Intramedullary spinal cord metastasis pulmonary
carcinoma is extremely rare,
Theyrepresent 1% of all spinal cord tumors and 1-3% of
intramedullary tumors.
pulmonary cancers are the most frequent type of
tumors with spinal cord metastasis (48% of cases.
Conclusion:
Metastasis to the spinal cord is rare and may be
the first manifestation of a primary cancer. Rapid progression
of neurological symptoms should warrant imaging and may
indicate metastasis to the spinal cord, especially in patients
with previously diagnosed cancer. -Though the prognosis
for metastatic pulmonary carcinoma patients is poor, early
detection and appropriate treatment of such cancer patients
may ameliorate symptoms and prolong good quality life.
e:
rachidee@gmail.com