title: Intramedullary thoracic cord metastasis managed effectively without surgery.
abstract: Spinal intramedullary metastases present with rapidly progressing neurological deficits and have an extremely poor prognosis. Prompt investigation and management are required. This case history illustrates that radiotherapy and steroids can be effective in returning motor function. The behaviour of the primary tumour and the stage of the disease influence whether surgery is appropriate.
authors.affiliation: Gough-Cooper Department of Neurological Surgery, Institute of Neurology, National Hospital for Neurology and Neurosurgery, London, UK.
authors.forename: R R
authors.initials: RR
authors.lastname: Vindlacheruvu
authors.forename: A W
authors.initials: AW
authors.lastname: McEvoy
authors.forename: N D
authors.initials: ND
authors.lastname: Kitchen
mesh_terms: D001984:Bronchial Neoplasms / Q000473:pathology*; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D013120:Spinal Cord Neoplasms / Q000188:drug therapy / Q000532:radiotherapy* / Q000556:secondary*; D013256:Steroids / Q000627:therapeutic use
chemical_list: D013256:Steroids