tailieunhanh - Báo cáo y học: " Intramedullary spinal cord metastasis from colonic carcinoma presenting as Brown-Séquard syndrome: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Intramedullary spinal cord metastasis from colonic carcinoma presenting as Brown-Séquard syndrome: a case report. | Kaballo et al. Journal of Medical Case Reports 2011 5 342 http content 5 1 342 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Intramedullary spinal cord metastasis from colonic carcinoma presenting as Brown-Séquard syndrome a case report Mohammed A Kaballo 1 Darren D Brennan2 Mazen El Bassiouni3 Stephen J Skehan4 and Rajnish K Gupta1 5 Abstract Introduction Intramedullary spinal cord metastasis is very rare. The majority are discovered incidentally during autopsy. Most symptomatic patients present with rapidly progressive neurological deficits and require immediate examination. Few patients demonstrate features of Brown-Séquard syndrome. Radiotherapy is the gold-standard of therapy for Intramedullary spinal cord metastasis. The overall prognosis is poor and the mortality rate is very high. We present what is to the best of our knowledge the first case of Intramedullary spinal cord metastasis of colorectal carcinoma presenting as Brown-Séquard syndrome. Case presentation We present the case of a 71-year-old Caucasian man with colonic adenocarcinoma who developed Intramedullary spinal cord metastasis and showed features of Brown-Séquard syndrome which is an uncommon presentation of Intramedullary spinal cord metastasis. Conclusion This patient had an Intramedullary spinal cord metastasis a rare form of metastatic disease secondary to colonic carcinoma. The metastasis manifested clinically as Brown-Séquard syndrome itself a very uncommon condition. This syndrome is rarely caused by intramedullary tumors. This unique case has particular interest in medicine especially for the specialties of medical surgical and radiation oncology. We hope that it will add more information to the literature about these entities. Introduction Intramedullary spinal cord metastasis ISCM is very rare accounting for only of all spinal cord metastases. The majority are discovered incidentally during autopsy and manifest clinically in only

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