Presentation
Acute onset of urinary and fecal incontinence.
Patient Data
Age: 40 years
Gender: Female
From the case:
Intramedullary spinal cord metastasis
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Multiple enhancing intramedullary lesions throughout the spinal cord of varying size. Largest lesion located at the level of C5-C6. Associated surrounding edema extending along the entire length of the spinal cord. Small nodules of enhancement in the cauda equina. Several intra-axial lesions of similar appearance in the partially imaged brainstem and cerebellum. Prominent degenerative disc disease at L4-L5 and L5-S1.
Conclusion: Appearance is consistent with extensive intramedullary spinal cord metastases.
Case Discussion
This patient had a background of metastatic breast cancer with leptomeningeal disease and parenchymal metastases.