Spinal Cord Compression as Initial Presentation of Follicular Thyroid Carcinoma. |
Dae Ki Kim, Cheol Su Jwa, Kang Hyun Kim, Jae Kyu Kang |
Department of Neurosurgery, National Medical Center, Seoul, Korea. chsjwa@hanmail.net |
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ABSTRACT |
Follicular thyroid carcinoma with metastasis rarely manifests as spinal cord compression without any previous symptoms of its malignancy. This report describes a 64-year-old man with follicular thyroid carcinoma who presented initially with left arm motor weakness. Magnetic resonance images demonstrated severe cervical cord compression by a mass with destruction of C4 vertebra.
Corpectomy of C4 and anterior interbody fusion was carried out. Histopathological study revealed a metastatic follicular carcinoma of the thyroid. We present our case, especially focused of its possible pathophysiology, with review of pertinent literatures. |
Key Words:
Spinal cord compression; Thyroid carcinoma; Metastasis |
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