Cervical intramedullary spinal cord metastasis from esophageal adenocarcinoma: a case report.

Autor:	Ontsi Obame, Fresnel Lutèce, El Kacemi, Inas, Dokponou, Yao Christian Hugues, Laaguili, Jawad, Saad, Moussa Elmi, Mohcine, Salami, El Asri, Abad Cherif, Gazzaz, Miloud
Předmět:	SPINAL cord ADENOCARCINOMA SPINAL cord tumors METASTASIS SPINAL cord cancer RESPIRATORY insufficiency GADOLINIUM
Zdroj:	Egyptian Journal of Neurosurgery; 8/14/2023, Vol. 38 Issue 1, p1-5, 5p
Abstrakt:	Background: Intramedullary spinal cord metastasis (ISCM) is a rare pathologic entity. To the best of our knowledge, this is the second case of ISCM due to esophageal adenocarcinoma reported in the literature. Case description: We report a 63-year-old man with a history of surgical removal of an esophageal adenocarcinoma who presented with the Brown–Sequard syndrome. Pan-spinal MRI showed intramedullary cervical lesions with intense homogeneous enhancement on gadolinium injection at C3 level. There were other sites of spinal metastases and one in the brain. We proceeded with the surgical removal of the lumbar metastatic lesion. The patient died 10 days later from respiratory failure. Conclusion: ISCM from esophageal adenocarcinoma appeared as homogeneous high intensity of the intramedullary lesion in T1 gadolinium. Their prognosis is very poor. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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