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Longitudinally Extensive Transverse Myelitis with Intramedullary Metastasis of Small-Cell Lung Carcinoma : An Autopsy Case Report
Joint Authors
Saeki, Harumi
Urabe, Takao
Hattori, Nobutaka
Tanaka, Ryota
Oji, Yutaka
Nishioka, Kenya
Ito, Masanori
Tsutsumi, Satoshi
Shimura, Hideki
Yasumoto, Yukimasa
Source
Case Reports in Neurological Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Longitudinally extensive transverse myelitis (LETM) is characterized by spinal cord inflammation extending vertically through three or more vertebral segments.
The widespread use of MRI revealed LETM more frequency than ever.
We report the case of a patient with pathologically confirmed small-cell lung carcinoma metastasis into the spinal cord presenting as LETM.
Case Presentation.
A 74-year-old man developed rapidly progressive sensorimotor disturbance and vesicorectal dysfunction.
T2-weighted magnetic resonance imaging of the spine revealed LETM at the level of from T3 to conus medullaris; gadolinium enhancement showed concurrent tumor in the thoracic spinal cord from T10 to T11.
Systemic survey identified a nodular mass in the lung that was verified as small-cell carcinoma.
Following initial failed treatment by high-dose steroid, the patient underwent an emergent microsurgical tumor resection.
Histological examination was identical with the lung carcinoma.
The patient died of tumor progression at the 47th day after admission.
At autopsy, only changes of edema were found in the gray matter of the cord, while tumor cells were not noted in it.
Conclusion.
Metastasis may rarely present symptoms of LETM.
Prompt identification of underlying etiology by contrast examination and systemic survey is crucial for the patient assumed as LETM.
American Psychological Association (APA)
Nishioka, Kenya& Tanaka, Ryota& Tsutsumi, Satoshi& Shimura, Hideki& Oji, Yutaka& Saeki, Harumi…[et al.]. 2013. Longitudinally Extensive Transverse Myelitis with Intramedullary Metastasis of Small-Cell Lung Carcinoma : An Autopsy Case Report. Case Reports in Neurological Medicine،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-461975
Modern Language Association (MLA)
Nishioka, Kenya…[et al.]. Longitudinally Extensive Transverse Myelitis with Intramedullary Metastasis of Small-Cell Lung Carcinoma : An Autopsy Case Report. Case Reports in Neurological Medicine No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-461975
American Medical Association (AMA)
Nishioka, Kenya& Tanaka, Ryota& Tsutsumi, Satoshi& Shimura, Hideki& Oji, Yutaka& Saeki, Harumi…[et al.]. Longitudinally Extensive Transverse Myelitis with Intramedullary Metastasis of Small-Cell Lung Carcinoma : An Autopsy Case Report. Case Reports in Neurological Medicine. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-461975
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461975