Metastatic Thyroid Carcinoma Presenting as Distal Spinal Cord Compression

1988 ◽  
Vol 97 (4) ◽  
pp. 393-396 ◽  
Author(s):  
Steven I. Goldstein ◽  
David Kaufman ◽  
Andrea D. Abati
Keyword(s):  
Spinal Cord ◽  
Thyroid Carcinoma ◽  
Spinal Cord Compression ◽  
Radioactive Iodine ◽  
Follicular Carcinoma ◽  
Cord Compression ◽  
Radioactive Iodine Therapy ◽  
Decompressive Laminectomy ◽  
Vertebral Bodies ◽  
Bony Metastases

The prognosis of metastatic thyroid carcinoma is dependent on the age of the patient, the histologic characteristics of the neoplasm, and the site of metastasis. A more favorable prognosis is found in patients less than 40 years old with follicular carcinoma and without any bony metastases. Metastatic thyroid carcinoma presenting as distal spinal cord compression is extremely rare. We report one such case and review the literature. As reported in the literature, the combination of decompressive laminectomy followed by total thyroidectomy and radioactive iodine therapy has proved to be effective in the treatment of patients with thyroid carcinoma metastatic to the distal vertebral bodies.

scholarly journals Spinal cord compression as initial presentation of metastatic occult follicular thyroid carcinoma

2014 ◽  
Vol 5 (02) ◽  
pp. 155-159 ◽  
Author(s):  
Md Nuruzzaman Khan ◽  
AMSM Sharfuzzaman ◽  
Md Golam Mostafa
Keyword(s):  
Spinal Cord ◽  
Thyroid Carcinoma ◽  
Spinal Cord Compression ◽  
Follicular Thyroid Carcinoma ◽  
Follicular Carcinoma ◽  
Cord Compression ◽  
Good Prognosis ◽  
Initial Presentation ◽  
Radioiodine Ablation ◽  
Thyroid Profile

ABSTRACTMetastatic tumors are the most common tumors of the spine, accounting for 98% of all spine lesions. But spinal cord compression as the initial presentation of metastatic occult follicular carcinoma without any thyroid enlargement is unusual and relatively rare. This report describes a 35-years-old female patient presenting with paraplegia and urinary incontinence for the last two months. She had no thyroid enlargement; no thyroid related symptoms and her biochemical thyroid profile was normal. Magnetic resonance imaging (MRI) of spine shows a huge mass compressing the spinal cord at D11-D12 involving both the spinal and paraspinal areas. The patient was treated by surgery and radioiodine ablation as the histopathology showed metastatic follicular thyroid carcinoma. This case was reported because of the rarity of the disease. Early diagnosis and initiation of the treatment should promise a good prognosis for a patient with metastatic spinal cord compression.

scholarly journals Symptomatic thoracic ossification of the ligamentum flavum in a patient with ankylosing spondylitis: Report of a case and review

2021 ◽  
Vol 12 ◽  
pp. 596
Author(s):  
Abolfazl Rahimizadeh ◽  
Parviz Habibollahzadeh ◽  
Walter L. Williamson ◽  
Housain Soufiani ◽  
Mahan Amirzadeh ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Ankylosing Spondylitis ◽  
Spinal Cord Compression ◽  
Marked Improvement ◽  
Ligamentum Flavum ◽  
Cord Compression ◽  
Case Description ◽  
Thoracic Spinal Cord ◽  
Decompressive Laminectomy ◽  
Thoracic Spinal

Background: Thoracic spinal cord compression due to both ankylosing spondylitis (AS) and ossification of the ligamentum flavum (OLF) is rare. Case Description: A 33-year-old male with AS presented with a paraparesis attributed to MR documented T9-T10 OLF/stenosis. He was successfully managed with a decompressive laminectomy; this resulted in marked improvement of his deficit. Conclusion: Thoracic OLF and AS rarely contribute T9-T10 spinal cord compression that may be readily relieved with a decompressive laminectomy.

Thyroid carcinoma with spinal cord compression

JAMA ◽  
1982 ◽  
Vol 247 (11) ◽  
pp. 1565a-1566 ◽  
Author(s):  
E. H. Shortliffe
Keyword(s):  
Spinal Cord ◽  
Thyroid Carcinoma ◽  
Spinal Cord Compression ◽  
Cord Compression

Thyroid Carcinoma With Spinal Cord Compression

JAMA ◽  
1982 ◽  
Vol 247 (11) ◽  
pp. 1565 ◽  
Author(s):  
Edward H. Shortliffe
Keyword(s):  
Spinal Cord ◽  
Thyroid Carcinoma ◽  
Spinal Cord Compression ◽  
Cord Compression

scholarly journals Progressive Spinal Cord Compression Due to Epidural Extramedullary Hematopoiesis in Thalassemia Intermedia

2013 ◽  
Vol 26 (1) ◽  
pp. 111-117 ◽  
Author(s):  
U. Ghieda ◽  
M. Elshimy ◽  
A. H. El Beltagi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Extramedullary Hematopoiesis ◽  
Cord Compression ◽  
Low Back ◽  
Thalassemia Intermedia ◽  
Decompressive Laminectomy ◽  
Magnetic Resonance Imaging Mri ◽  
The Masses ◽  
Mass Lesions

Extramedullary hematopoiesis (EMH) can occur in patients with thalassemia intermedia as a physiologic response to insufficient erythropoiesis to meet circulatory demands. Rarely, EMH involve the epidural space causing spinal cord compression. We describe a case of EMH in a 21-year-old man with β-thalassemia intermedia presenting with progressive low back pain, worsening paraparesis and sphincter disturbance. Magnetic resonance imaging (MRI) demonstrated spinal cord compression by EMH epidural mass lesions extending from T3 to T10 levels. An emergency multilevel decompressive laminectomy was performed with excision of the masses and complete rehabilitation of the patient.

Anterior transvertebral transposition of the spinal cord for the relief of paraplegia associated with congenital cervicothoracic kyphoscoliosis

2006 ◽  
Vol 5 (4) ◽  
pp. 374-379 ◽  
Author(s):  
Emad F. Shenouda ◽  
Ian W. Nelson ◽  
Richard J. Nelson
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Spastic Paraparesis ◽  
Cord Compression ◽  
Neurological Deterioration ◽  
Bladder Function ◽  
Sensory Level ◽  
Spinal Deformities ◽  
Vertebral Bodies

✓The authors describe a technique for the relief of spinal cord compression associated with congenital kyphoscoliosis. A 13-year-old girl with congenital cervicothoracic kyphoscoliosis had undergone in situ fusion; spastic paraparesis and bladder disturbance developed postoperatively. Spinal cord detethering and posterolateral decompression temporarily arrested the neurological deterioration; however, the patient’s condition then progressed to paraplegia with a partial sensory level at L-1. Imaging demonstrated persisting cord compression at the apex of the kyphotic curve. Transvertebral transposition of the spinal cord was performed using sagittal vertebrotomies, preserving the lateral aspects of the vertebral bodies, pedicles, and fusion mass. By 2 years postoperatively she had recovered normal sensation and good bladder function and was walking unaided. Transposition of the spinal cord may be used to relieve spinal cord compression associated with complex spinal deformities.

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