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Journal of Korean Neurosurgical Society > Volume 41(4); 2007 > Article
Journal of Korean Neurosurgical Society 2007;41(4): 269-271.
doi: https://doi.org/10.3340/jkns.2007.41.4.269
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
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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