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[Intramedullary metastases and syringomyelic cavities]
1Service de Radiologie, Centre Hospitalier de Pau, 4 Boulevard Hauterive, BP 1156, 64046 Pau Université Cedex, France.
Journal De Radiologie
|July 13, 2001
Summary
Intramedullary metastases, rare tumors in the spinal cord, are exceptionally uncommon when associated with syrinx. This case highlights a rare instance of metastatic spinal cord lesions and syrinx in a patient with Peutz-Jeghers disease.
Area of Science:
- Oncology
- Neurology
- Pathology
Background:
- Intramedullary metastases (IMMs) from non-neurogenic cancers are rare, accounting for 1-2.1% of metastatic sites.
- The co-occurrence of IMMs and syrinx is exceptionally rare, with only four cases reported in the past 30 years.
Observation:
- A 60-year-old female with a history of Peutz-Jeghers disease presented with symptoms indicative of cervical spinal cord lesions.
- Magnetic Resonance (MR) imaging revealed tumoral lesions at multiple levels of the cervical spine, accompanied by a syrinx.
Findings:
- Surgical biopsy confirmed the presence of intramedullary lesions.
- Pathological examination identified the lesions as metastatic in origin.
Implications:
- This case contributes to the limited literature on intramedullary metastases associated with syrinx.
- Highlights the importance of considering metastatic disease in the differential diagnosis of spinal cord lesions, even in rare presentations.
- Further research may elucidate the mechanisms underlying the development of syrinx in the context of intramedullary metastases.