Intramedullary Spinal Cord Solitary Metastasis as the Inaugural Presentation of Colorectal Cancer: A Case Report

Mafalda Mendes-Pinto, Joana Parra, Orlando Galego, Bruno Costa-Gomes, Marta Costa, Ricardo Veiga, Helena Gens

Abstract


This is a case report of intramedullary spinal cord metastasis (ISCM) of a colorectal cancer (CRC). A 67-year-old male with no relevant medical history presented with paresthesias in the lower limbs and paraparesis for 7 days. Thoracic spinal cord magnetic resonance imaging (MRI) demonstrated an oval intramedullary lesion suggestive of metastatic lesion. Primary tumor was a rectosigmoid transition zone invasive adenocarcinoma. He had a rapidly progressive neurological condition and became paraplegic with urinary and fecal incontinence. A conservative approach was performed, with spinal cord radiotherapy and derivate colostomy. The patient died 3 months later. This case report describes ISCM from CRC. Although it represents a rare clinical entity, we must be alert in order to achieve the earliest possible diagnosis trying to preserve the patient’s quality of life.




J Med Cases. 2017;8(1):11-13
doi: https://doi.org/10.14740/jmc2697w


Keywords


Rectosigmoid transition zone; Spinal cord; Intramedullary lesion; Metastatic disease; Magnetic resonance imaging

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