Perineural Invasion in Intramedullary Spinal Cord Metastasis
Ashwood, Neil Jayakumar, Nithish Athar, Sajjad
Ashwood, Neil
Jayakumar, Nithish
Athar, Sajjad
Abstract
A woman in her late sixties was referred to the orthopaedic clinic with progressive lower limb weakness and gait disturbance. She was known to have breast cancer with pre-existing infiltrative disease in the left brachial plexus. Magnetic resonance imaging of the spine revealed an intramedullary spinal cord metastasis in the lower cervical cord at C6-C7. She underwent surgical excision but died within six weeks of surgery. This rare case of an intramedullary spinal cord metastasis highlights the extremely poor prognosis in this condition as well as the possibility of perineural invasion into the spinal cord from the brachial plexus lesion. A detailed discussion of the literature on intramedullary spinal cord metastases is also presented.
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Date
2020-05
Type
Article
Subject
Oncology. Pathology., Surgery
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Citation
Ann R Coll Surg Engl. 2020 May;102(5):e94-e96