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KMID : 1001920120510040230
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Journal of Korean Neurosurgical Society
2012 Volume.51 No. 4 p.230 ~ p.232
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A Case Report of “Spinal Cord Apoplexy” Elicited by Metastatic Intramedullary Thyroid Carcinoma
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Choi In-Jae
Chang Jae-Chil
Kim Dong-Won
Choi Gun
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Abstract
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A 31-year-old man presented with acute onset of paraplegia. The patient’s history was significant for thyroid carcinoma that had been treated 2 years earlier by thyroidectomy. A magnetic resonance imaging scan showed an enhancing intramedullary lesion at T7-8. Patient underwent surgical treatment and a tumor with hematoma was resected via posterior midline myelotomy. Postoperatively, the patient’s motor weakness was improved to grade 3. The lesion showed typical histologic features consistent with papillary thyroid carcinoma. Early diagnosis and microsurgical resection can result in improvement in neurological deficits and quality of life of patients with an ISCM.
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KEYWORD
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Intramedullary spinal cord tumor, Metastasis, Thyroid carcinoma, Spinal cord apoplexy
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