Extra- and intradural spinal metastases from breast cancer

Case contributed by Dr Roberto Schubert

Presentation

Aggravating low back pain, flaccid paresis and hypoesthesia of both legs, and urinary retention.

Patient Data

Age: 60 years
Gender: Female

Multiple nodules along the cauda equina, a large inhomogeneous lesion of the conus medullaris, and a bone metastasis invading the sacral canal.

After Gd administration, the intradural lesions show marked enhancement. The sacral metastasis enhances only moderately.

Case Discussion

MRI of the lumbar spine a 60-year-old woman with advanced breast cancer and known skeletal metastases showed secondary neoplastic lesions in multiple locations:

  • bone metastasis of the os sacrum invading the sacral canal (extradural)
  • large metastasis of the conus medullaris (intradural-intramedullary)
  • multiple nodular metastases of the cauda equina (intradural-leptomeningeal)
PlayAdd to Share

Case information

rID: 13687
Published: 7th May 2011
Last edited: 11th May 2020
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.