Turkish Neurosurgery 2012 , Vol 22 , Num 4
Intramedullary Spinal Cord Involvement from Metastatic Gastric Carcinoma: A Case Report
Berker CEMIL1, Emre Cemal GOKCE2, Fatih KIRAR1, Bulent ERDOGAN1, Reyhan BAYRAK3
1Fatih University Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey
2Beytepe Military Hospital, Department of Neurosurgery, Ankara, Turkey
3Fatih University Faculty of Medicine, Department of Pathology, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.3861-10.0 Intramedullary spinal cord metastasis (ISCM) is a rarely seen complication of cancer. We report a case of ISCM from gastric cancer. A 42-yearold male presented with a rare intramedullary spinal cord metastasis from gastric carcinoma manifesting as rapidly worsening motor and sphincter disturbances. The primary tumor had been treated 2 years previously. Magnetic resonance imaging (MRI) revealed the tumor localized in the thoracic spinal cord. The tumor was totally removed. The histological diagnosis was gastric adenocarcinoma. He has been stable postoperatively. Surgical treatment may be considered for cases with even rapid-growing tumors such as gastric carcinoma with no evidence of multi-organ dissemination, especially when presenting with progressive neurological deterioration. Keywords : Gastric adenocarcinoma, Intramedullary tumor, Metastasis, Spinal cord
Corresponding author : Berker Ceml, berker5@yahoo.com