title: Isolated solitary intramedullary spinal cord metastasis presenting as the first manifestation of small-cell lung cancer: report of a rare case.
abstract: Background. Intramedullary spinal cord metastases presenting as the first manifestation of malignancies are extremely rare lesions. Case Description. The authors report a 74-year-old woman who presented with an isolated intramedullary spinal cord metastasis which presents as first manifestation of malignancy without central nervous system and/or other organ involvement. She went under surgery, and after histopathological evaluation, primary focus was determined in lung in positron emission tomography. She is still alive after 9 months since the first diagnosis of primary focus. Conclusion. In patients with solitary intramedullary lesion in the spinal magnetic resonance imaging, whole-body investigation might help for diagnosis of primary focus and approach to treatment.
authors: Department of Neurosurgery, Faculty of Medicine, Celal Bayar University, 45040 Manisa, Turkey.
authors: Yusuf Kurtuluş
authors: YK
authors: Duransoy
authors: Mesut
authors: M
authors: Mete
authors: Mehmet
authors: M
authors: Selçuki
authors: Aydın
authors: A
authors: Işisağ