Severe spinal cord compression from epidural prostate metastases

Case contributed by Dr Henry Knipe

Presentation

Myelopathy, bilateral lower limb weakness, sensory level mid thoracic spine and mid thoracic band-like pain.

Patient Data

Age: 70
Gender: Male

Diffuse marrow infiltration. Vertebral body and intervertebral disc height has been preserved.

Enhancing posterior epidural mass extending from T3-T5 results in severe spinal canal narrowing and severe cord compression. Mildly increased cord signal at this level. It also extends into the left intravertebral foramen at T3-4 and T4-5. Right T5/6, T6/7, L>R T7/8 foramina are also filed by tumor, which bulges into the adjacent lateral epidural space but does not encase theca or compress the cord.

Case Discussion

Patient has a history of metastatic prostate cancer.

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Case information

rID: 38827
Published: 16th Aug 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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