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Malignant eccrine poroma with spinal and cerebrospinal fluid metastases: case report
S A Magdum1, D P O'Brien, G O'Reilly
1Department of Neurosurgery, Hull Royal Infirmary, Anlaby Road, Hull HU3 2JZ, England. samcdum@hotmail.com
Objective And Importance:
A rare case of metastasizing malignant eccrine poroma (porocarcinoma) is described. This case is unique because metastasis resulted in hydrocephalus in the cerebrospinal fluid and spinal cord compression in the lumbar spine.
Clinical Presentation:
A 57-year-old man presented with acute confusion, lower limb weakness, and urinary concerns. Investigation revealed acute hydrocephalus and extradural cord compression of the lumbar spine.
Intervention:
The acute hydrocephalous was treated with a ventriculoperitoneal shunt. The spinal cord and conus were decompressed by laminectomy and supplemented with pedicular screw fixation.
Conclusion:
The case reported here is the first with metastases from a malignant eccrine poroma causing spinal cord compression and acute hydrocephalus. Our observation is compared with a review of the literature.