Journal
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
Volume 102, Issue 5, Pages E94-E96Publisher
ROYAL COLL SURGEONS ENGLAND
DOI: 10.1308/rcsann.2020.0009
Keywords
Spinal cord neoplasms; Neoplasm metastasis; Orthopaedics; Neurosurgery
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A woman in her late sixties was referred to the orthopaedic clinic with progressive lower limb weakness and gait disturbance. She was known to have breast cancer with pre-existing infiltrative disease in the left brachial plexus. Magnetic resonance imaging of the spine revealed an intramedullary spinal cord metastasis in the lower cervical cord at C6-C7. She underwent surgical excision but died within six weeks of surgery. This rare case of an intramedullary spinal cord metastasis highlights the extremely poor prognosis in this condition as well as the possibility of perineural invasion into the spinal cord from the brachial plexus lesion. A detailed discussion of the literature on intramedullary spinal cord metastases is also presented.
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