Successful removal of intramedullary spinal cord metastasis: case report.
Intramedullary metastatic disease accounts for 5% of CNS metastases. This report describes a 47-year-old female with the simultaneous presentation of primary breast carcinoma and a solitary brain metastasis, both treated surgically. She represented with an increasing hemiparesis due to a spinal cord metastasis 4 years later. The cord lesion was removed microsurgically using a CO2 laser. Postoperatively she made a good recovery and lived independently for 2 years. The rationale for aggressive surgical treatment is discussed.
Stranjalis
G
G
Department of Neurosurgery, Frenchay Hospital, Bristol, UK.
Torrens
M J
MJ
D001932:Brain Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D001943:Breast Neoplasms / Q000175:diagnosis / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D005260:Female; D005625:Frontal Lobe / Q000473:pathology / Q000601:surgery; D006801:Humans; D053685:Laser Therapy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009460:Neurologic Examination; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed