Paraplegia in a puerperal woman due to spinal metastasis from papillary carcinoma of the thyroid gland.
We present an unusual case of paraplegia which occurred on the second postnatal day. Investigations revealed a spinal mass at D-7 level. Histopathology of the tumor showed it to be a spinal metastasis from a solitary thyroid malignant nodule. The patient had laminotomy and biopsy, followed later by total thyroidectomy. She also had radiotherapy and radio-iodine ablation. We discuss the therapeutic modalities of such a condition.
Department of Obstetrics and Gynecology, College of Medicine, Arabian Gulf University, Bahrain. yonrajab@batelco.com.bh
Khalil E
KE
Rajab
Abdulla A
AA
Issa
Raghava K
RK
Das
Abdul N
AN
Al-Aradi
D000328:Adult; D002291:Carcinoma, Papillary / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000209:etiology*; D049590:Postpartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D013125:Spinal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D013904:Thoracic Vertebrae; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery