tailieunhanh - Báo cáo y học: "Multiple myeloma presenting as spinal cord compression: 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: Multiple myeloma presenting as spinal cord compression: a case report. | Chakraborti and Miller Journal of Medical Case Reports 2010 4 251 http content 4 1 251 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Multiple myeloma presenting as spinal cord compression a case report Chayan Chakraborti1 Kristen L Miller2 Abstract Introduction Spinal cord compression is a potentially devastating condition that demands immediate attention. Efforts must be divided between addressing the symptoms of cord compression and identifying the precise etiology of the condition. Case presentation A 76-year-old Peruvian man presented to our emergency department for evaluation of the gradual onset of lower extremity weakness over one month resulting in falls and a two day history of bladder and bowel incontinence. Surprisingly the etiology of this case of spinal cord compression was found to be multiple myeloma presenting as a solid tumor. Conclusion We report a case of a spinal cord mass resulting in symptoms ofcord compression that was diagnosed when aspects of our patient s initial magnetic resonance imaging scan did not correlate with disc herniation which was the diagnosis with the greatest pretest probability. Introduction Spinal masses are prevalent in medicine. These masses most often result from a metastatic primary neoplasm although many other etiologies are possible. They present most commonly as pain both local and radicular weakness paresthesias loss of bladder or bowel function or ataxia. These are all signs of spinal cord compression. Early recognition of spinal masses and compression symptoms in addition to identifying the underlying cause is crucial as delay in treatment can have devastating consequences. Case presentation A 76-year-old Peruvian man presented to the emergency department for evaluation of one month of gradual onset of lower extremity weakness resulting in falls. He also reported a two day history of bladder and bowel incontinence. A systemic review of our patient was notable for dull

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