Intramedullary spinal metastasis
History of breast cancer, presenting with neck stiffness and tetraparesis.
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A focal intramedullary lesion at the C5/6 level with perifocal edema. After IV gadolinium, the lesion enhances homogeneously.
MRI of the cervical 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.