title: Pure intramedullary spinal cord metastasis secondary to gastric cancer.
abstract: Pure intramedullary spinal-cord metastases (ISCM) are a rare manifestation of cancer. We report a case of ISCM from gastric cancer. A 68-year-old man, treated with total gastrectomy for a gastric cancer, presented 9 months later with paresis of the left arm, pain and dissociated sensory loss. Magnetic resonance imaging revealed a pure intramedullary lesion at the C3-C5 level. After surgical resection, pathological findings revealed an undifferentiated adenocarcinoma of gastric origin. To our knowledge, this is only the second report of ISCM from gastric cancer in the literature.
authors.affiliation: UOD Neurochirurgia, Azienda Ospedaliera San Giovanni-Addolorata, Roma, Italy. r.gazzeri@tiscali.it
authors.forename: Roberto
authors.initials: R
authors.lastname: Gazzeri
authors.forename: Marcelo
authors.initials: M
authors.lastname: Galarza
authors.forename: Andrea
authors.initials: A
authors.lastname: Faiola
authors.forename: Giovanni
authors.initials: G
authors.lastname: Gazzeri
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D000368:Aged; D018572:Disease-Free Survival; D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D009460:Neurologic Examination; D013116:Spinal Cord / Q000473:pathology / Q000601:surgery; D013117:Spinal Cord Compression / Q000473:pathology / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*