title: Intramedullary spinal cord metastasis of cholangiocarcinoma: a case report.
abstract: BACKGROUND
  Cholangiocarcinomas are rare tumors, and metastasis to the intramedullary spinal cord is also rare. To the best of our knowledge, this is the first case of simultaneous cholangiocarcinoma and intramedullary spinal cord metastasis to be described in the medical literature.
  
  
  METHODS
  A 62-year-old Caucasian male with a cholangiocarcinoma presented pain around his left shoulder without any other symptoms. The results by magnetic resonance imaging and F18 fluorodeoxyglucose positron emission tomography/computer tomography revealed an intramedullary metastasis at the C4 level, with spinal cord compression, and numerous secondary parenchymal brain metastases.
  
  
  CONCLUSIONS
  This patient was treated successfully with a combination of radiotherapy, corticosteroids, and chemotherapy. He experienced complete relief of the symptoms and showed improvements upon subsequent radiological evaluations.
authors.affiliation: Department of Medical Oncology, Centre Hospitalier Universitaire Dinant-Godinne, 1 Rue Dr G. Therasse, 5530, Yvoir, Belgium. laurence.faugeras@uclouvain.be.
authors.forename: Laurence
authors.initials: L
authors.lastname: Faugeras
authors.affiliation: Department of Radiology, Centre Hospitalier Universitaire DinantMont-Godinne, Yvoir, Belgium. gaetan.cantineau@uclouvain.be.
authors.forename: Gaetan
authors.initials: G
authors.lastname: Cantineau
authors.affiliation: Department of Radiotherapy, Clinique et maternité sainte-Elisabeth, Namur, Belgium. jfdaisne@gmail.be.
authors.forename: Jean-Francois
authors.initials: JF
authors.lastname: Daisne
authors.affiliation: Department of Neurosurgery, Centre Hospitalier Universitaire Dinant-Godinne, Yvoir, Belgium. Thierry.gustin@uclouvain.be.
authors.forename: Thierry
authors.initials: T
authors.lastname: Gustin
authors.affiliation: Department of Medical Oncology, Centre Hospitalier Universitaire Dinant-Godinne, 1 Rue Dr G. Therasse, 5530, Yvoir, Belgium. lionel.dhondt@uclouvain.be.
authors.forename: Lionel
authors.initials: L
authors.lastname: D'hondt
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000473:pathology; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy; D018281:Cholangiocarcinoma / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy; D005720:Gamma Rays / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000473:pathology; D013120:Spinal Cord Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D000970:Antineoplastic Agents