title: Resection of an intramedullary high cervical metastasis from a malignant mixed Muellerian tumour.
abstract: We present a 66-year-old female patient with a high cervical intramedullary metastasis from a malignant mixed Muellerian tumour (MMMT; carcinosarcoma) with concomitant syringomyelia. She was admitted to our clinic with symptoms of cervical myelopathy. MRI revealed an intramedullary tumour of 2.6cm×1.2cm at the cervical vertebral body C2. We performed a laminectomy on C2 followed by a dorsal median myelotomy from C1 to C3 to resect the tumour. The surgical intervention removed the tumour completely and resolved the syringomyelia. During the 36months of follow-up, the patient presented in a stable condition with no evidence of tumour recurrence. To our knowledge, this is the first report of an intramedullary metastasis of a MMMT.
authors: Clinic for Neurosurgery, Kantonsspital St.Gallen, St.Gallen, Switzerland.
authors: Martin Nikolaus
authors: MN
authors: Stienen
authors: Daniel
authors: D
authors: Hinkerohe
authors: Albrecht
authors: A
authors: Harders
authors: Sebastian
authors: S
authors: Lücke
mesh_terms: D000368:Aged; D005260:Female; D020233:Gait Disorders, Neurologic / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D018200:Mixed Tumor, Mullerian / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D018908:Muscle Weakness / Q000209:etiology; D010291:Paresis / Q000209:etiology; D020127:Recovery of Function; D013125:Spinal Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D013131:Spine / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000473:pathology