Transverse syndrome as the dominant feature of solitary cervical plasmocytoma with dissemination
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J Finsterer1, A Kladosek, A Gornik
12nd Neurological Department, Neurological Hospital Rosenhügel, Vienna, Austria.
Study Design:
A case report of transverse syndrome secondary to compression from an intravertebral plasmocytoma.
Objectives:
To report a rare case of cervical cord compression.
Setting:
Vienna, Austria.
Case Report:
A 47-year-old man presented with pain over the left scapula and subsequent development of pain and sensory disturbance. Investigations showed that the entire C7 vertebra was affected by a plasmocytoma. Decompression was carried out but no stabilisation of the spinal column was performed. Seven days after surgery the patient became paraplegic. Chemotherapy produced no improvement.
Conclusion:
Transverse syndrome may be a dominant feature of plasmocytoma and may resolve after immediate decompression but may recur if the spinal column is not stabilised.
