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KMID : 0363119940070020287
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Korean Journal of Pain
1994 Volume.7 No. 2 p.287 ~ p.291
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Intercostal Neuralgia and Spinal Cord Compression Symptom due to Spinal Tumor -A Case Report-
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이효근
신동엽/이희전/김찬
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Abstract
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A 49 years old male patients was admitted to our neuro-pain clinic with symptoms of left 11th intercostal neuralgic pain and low back pain that developed 2 months prior to admission. Upon initial physical examination, motor weakness or sensory
deficit
were absent. Intercostal neuralgic pain improved significantly after we performed thoracic root thermocoagulation. However on the efternoon of the procedure the patient started to experience voiding difficulty, saddle anesthesia and rapidly
progressing
motor weakness and hypoesthesia that involved the lower back area and the lower extremities for three days. Based on these symptoms spinal cord compression was suspected and subsequently plain T-L spine X-rays and T-L spine MRI were performed. A
spinal
tumor that appeared metastatic in origin was seen at the T11 and T12 level. Liver ultrasonography demonstrated the presence of a 4×4 cm sized ill defined mass in the posterior segment of the right lobe. The patient was diagnosed to have
hepatocellular
carcinoma after needle aspiration biopsy and cytologic studies.
Further orthopedic surgery was recommended but as the patient rejected any further treatment and examination, it was not possible to confirm the primary focus of the tumor. However as metastasis of a primary liver tumor to the spine is a rare
occurrence, some other primary focus of metastasis or even a malignant primary tumor of the spine is more likely to explain this patient's condition.
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KEYWORD
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