Metastatic nasopharyngeal carcinoma with epidural spinal cord compression: report of an unusual and catastrophic event.
Nasopharyngeal carcinoma (NPC) with epidural metastasis of spinal cord has rarely been reported. We present an NPC patient with epidural spinal cord compression due to metastasis. In spite of emergent radiotherapy and large dose decadron treatment, this patient still had severe sequela of paraplegia and incontinence. The epidemiology, clinical findings, diagnosis, treatment and outcome of this metastatic epidural tumor compression were discussed.
Lii
F N
FN
Department of Emergency Medicine, Veterans, General Hospital-Taipei, Taiwan, R.O.C.
Chen
Y M
YM
Shu
C H
CH
Liu
J M
JM
Whang-Peng
J
J
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000556:secondary*; D004824:Epidural Space; D006801:Humans; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000473:pathology*; D010264:Paraplegia / Q000209:etiology; D013117:Spinal Cord Compression / Q000209:etiology*; D013120:Spinal Cord Neoplasms / Q000532:radiotherapy / Q000556:secondary*; D014549:Urinary Incontinence / Q000209:etiology