Presentation
Metastatic prostate cancer. Mobilizing yesterday, no concerns. Today, new acute onset right leg weakness, Spinal metastases Acute fracture? Nerve compression?
Patient Data
T7 vertebral metastasis with marked soft tissue extension of the tumor into the extradural space with compression of the cord. Tumoral extension into the right exit foramen at T6-7 and T7-8 with tumor encasing the right T6 and T7 nerve roots.
Chronic collapse of T8 vertebra with mild retropulsion with associated mild narrowing of the neural foramina at the T8-9 level bilaterally. Old grade I compression fractures of T10, L2, L3, L4 and L5 vertebrae.
T10-T11 disc bulge causing mild narrowing of the neural foramina bilaterally. L1-L2 disc bulge causing mild narrowing of the neural foramina at the level bilaterally. L2-3, there is disc bulge causing moderate narrowing of the neural foramina at the level bilaterally. L3-4, there is disc bulge causing mild narrowing of the neural foramen on the left and moderate narrowing on the right. L4-5, there is disc bulge causing moderate narrowing of the neural foramina at the level bilaterally.
Tumoral infiltration of the S1 vertebra but no spinal extension. Post radiotherapy changes in the sacrum.
The urinary bladder is grossly distended.
Right sided pleural effusion.
Case Discussion
Metastatic cord compression due to extradural extension from a vertebral metastasis.
The primary malignancy was a prostate carcinoma.
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