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Intramedullary Spinal Cord Metastases from Differentiated Thyroid Cancer, a Case Report. 2022

Fabio Volpe, and Leandra Piscopo, and Mariarosaria Manganelli, and Maria Falzarano, and Federica Volpicelli, and Carmela Nappi, and Massimo Imbriaco, and Alberto Cuocolo, and Michele Klain
Department of Advanced Biomedical Sciences, University of Naples, Federico II, 80138 Naples, Italy.

Intramedullary spinal cord metastases (ISCM) are uncommon metastases of the spinal cord. Magnetic resonance (MR) plays an important role in surgical planning when ISCM is suspected in the differential diagnosis. The incidence of ISCM is expected to increase due to the longer survival of cancer patients as well as the widespread use of MR in the diagnosis of neurological syndromes. The management of these patients is controversial because of the multiple clinical presentations and lack of controlled studies on the efficacy of different therapeutic approaches. Increased awareness of this rare entity may lead to an earlier diagnosis with novel imaging approaches at a stage when neurological deficits are reversible. A case of ISCM in a 49-year-old patient with differentiated thyroid cancer is reported.

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