Extra- and intradural spinal metastases from breast cancer

Case contributed by Dr Roberto Schubert

Presentation

A 60 year old woman with advanced breast cancer and known skeletal metastases presented with aggravating low back pain, flaccid paresis and hypaesthesia of both legs, and urinary retention.

Patient Data

Age: 60
Gender: Female

MRI of the lumbar spine showed secondary neoplastic lesions in multiple locations: a bony metastasis of the os sacrum invading the sacral canal (extradural), a large metastasis of the conus medullaris (intradural-intramedullary), and multiple nodular metastases of the cauda equina (intradural-leptomeningeal).

Case Discussion

MRI of the lumbar spine showed secondary neoplastic lesions in multiple locations: A bone metastasis of the os sacrum invading the sacral canal (extradural), a large metastasis of the conus medullaris (intradural-intramedullary), and multiple nodular metastases of the cauda equina (intradural-leptomeningeal).

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Case Information

rID: 13687
Case created: 7th May 2011
Last edited: 9th Oct 2015
Inclusion in quiz mode: Included

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