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Intramedullary spinal metastasis

Case contributed by: Dr Roberto Schubert

Presentation:

54 year old woman with a history of breast cancer presenting with neck stiffness and tetraparesis.

Patient Data:

Age: 54 years
Gender: Female
Race: Caucasian
From the case: Intramedullary spinal metastasis
Modality: MRI

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  • <p>Fig. 1</p> Sag. T2-weighted MRI showing a focal intramedullary lesion at the C5/6 level with perifocal edema.

T2

Fig. 1

Sag. T2-weighted MRI showing a focal intramedullary lesion at the C5/6 level with perifocal edema.

Case Discussion:

MRI of the cervival spine showed a solitary, centrally located hypervascular lesion of the spinal cord at the C6 level with intramedullary edema, that extended 2 segments above and below.  The patient had been under chemotherapy for breast cancer with liver metastases.

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