Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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A Case Report of "Spinal Cord Apoplexy" Elicited by Metastatic Intramedullary Thyroid Carcinoma

  • Choi, In-Jae (Department of Neurosurgery, Soonchunhyang University Hospital) ;
  • Chang, Jae-Chil (Department of Neurosurgery, Soonchunhyang University Hospital) ;
  • Kim, Dong-Won (Department of Pathology, Soonchunhyang University Hospital) ;
  • Choi, Gun (Department of Neurosurgery, Seoul Wooridul Spine Hospital)
  • Received : 2011.09.18
  • Accepted : 2012.04.15
  • Published : 2012.04.28
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Abstract

A 31-year-old man presented with acute onset of paraplegia. The patient's history was significant for thyroid carcinoma that had been treated 2 years earlier by thyroidectomy. A magnetic resonance imaging scan showed an enhancing intramedullary lesion at T7-8. Patient underwent surgical treatment and a tumor with hematoma was resected via posterior midline myelotomy. Postoperatively, the patient's motor weakness was improved to grade 3. The lesion showed typical histologic features consistent with papillary thyroid carcinoma. Early diagnosis and microsurgical resection can result in improvement in neurological deficits and quality of life of patients with an ISCM.

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  2. INTRAMEDULLARY SPINAL CORD METASTASIS AS THE PRESENTING FEATURE OF PAPILLARY THYROID CARCINOMA vol.5, pp.5, 2019, https://doi.org/10.4158/accr-2019-0072