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Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
Published on: May 7, 2019
Multiple myeloma presenting as spinal cord compression: a case report.
Chayan Chakraborti1, Kristen L Miller
1Department of Internal Medicine, Tulane University Health Sciences, New Orleans, Louisiana, 70112, US. cchakra@gmail.com.
Journal of Medical Case Reports
|August 10, 2010
Summary
Spinal cord compression can be caused by multiple myeloma presenting as a solid tumor. This case highlights the importance of considering rare etiologies beyond disc herniation in spinal cord compression diagnosis.
Area of Science:
- Neurology
- Oncology
- Radiology
Background:
- Spinal cord compression is a critical condition requiring urgent diagnosis and treatment.
- Identifying the exact cause of spinal cord compression is essential for effective management.
Purpose of the Study:
- To present a rare case of spinal cord compression caused by multiple myeloma.
- To emphasize the diagnostic challenges and the importance of advanced imaging in identifying unusual etiologies.
Main Methods:
- A case presentation of a 76-year-old Peruvian man with progressive lower extremity weakness and incontinence.
- Diagnostic evaluation included magnetic resonance imaging (MRI) of the spine.
- The patient's presentation was initially suspected to be disc herniation due to high pretest probability.
Main Results:
- The patient presented with symptoms of spinal cord compression, including weakness and incontinence.
- MRI findings were atypical for disc herniation, prompting further investigation.
- The underlying cause of spinal cord compression was diagnosed as multiple myeloma presenting as a solid tumor.
Conclusions:
- Multiple myeloma can manifest as a spinal cord mass, leading to compression symptoms.
- Unusual MRI findings in suspected spinal cord compression warrant consideration of differential diagnoses beyond common conditions.
- This case underscores the necessity of a comprehensive diagnostic approach in spinal cord compression.
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