Presentation
Leg weakness. Cord compression?
Patient Data
Age: 60 years
Gender: Male
From the case:
Cord compression due to osseous metastases
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Multiple lytic vertebral lesions. At T5 there is extensive involvement of the vertebral body with extension into a pedicle and the impression on the soft-tissue algorithm of material extending into the anterior epidural space particularly on the right. This is the likely site of cord compression and would be better assessed with MRI.
From the case:
Cord compression due to osseous metastases
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MRI confirms epidural extension of the osseous metastasis causing cord compression without abnormal cord signal.
Case Discussion
Osseous metastases causing cord compression.