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Intramedullary spinal cord metastases from non-small cell lung carcinoma (NSCLC) associated with carcinomatous meningitis: a case report

Published online by Cambridge University Press:  02 December 2022

R. D’Silva ,
J. Jaiswal  and
A. Turaka Open the ORCID record for A. Turaka [Opens in a new window]
R. D’Silva
Affiliation:
Department of Internal Medicine, Nazareth Hospital, Philadelphia, PA, USA
J. Jaiswal
Affiliation:
Department of Internal Medicine, Nazareth Hospital, Philadelphia, PA, USA
A. Turaka*
Affiliation:
Department of Radiation Oncology, Nazareth Hospital, Philadelphia, PA, USA
*
Author for correspondence: Aruna Turaka, Department of Radiation Oncology, Nazareth Hospital, 2601 Holme Avenue, Philadelphia, PA 19152, USA. Ph: 215-335-6144. Fax: 215-335-1507. E-mail: aruna.turaka@mercyhealth.org
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Abstract

Background:

Carcinomatous meningitis with metastases to the spinal cord [intramedullary spinal cord (IMSC)] is very rare, and a quick intervention to management of these patients is important in preventing neurological deterioration.

Methods:

We report a case of IMSC metastases from a stage IV non-small cell lung carcinoma in a 57-year-old man who presented with Brown-Sequard syndrome along with multiple brain metastases with associated carcinomatous meningitis and managed with urgent palliative external beam radiation therapy.

Conclusion:

A quick, short course of palliative radiation therapy for inoperable patients with IMSC metastases provides improvement in neurological function in the management of these oncologic emergencies in patients with short survival times.

Keywords

Intramedullary spinal cord metastasesNSCLCRadiation therapy (RT)spinal cord tumours
Type
Case Study
Information
Journal of Radiotherapy in Practice , Volume 22 , 2023 , e62
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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