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Journal of Korean Neurosurgical Society 1998;27(3): 397-402.
Intramedullary Spinal Cord Metastasis: Case Report.
Shin Hyuk Kang, Yong Gu Chung, Taek Hyun Kwon, Ki Chan Lee, Hoon Kap Lee
Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.
Intramedullary spinal cord metastasis is rare, but is being encountered with increasing frequency with the availability of more sensitive imaging techniques. RI is the most sensitive of these techniques, though it cannot differentiate between intramedullary spinal cord metastasis and other cord pathologies. Occasionally, therefore, surgical biopsy is indicated though optimal treatment after diagnosis remains controversial. Radical resection, radiation and chemotherapy significantly prolong survival, but many patients survive less than one year. The authors have encountered two cases of intramedullary spinal cord metastasis of small cell carcinoma of the lung. These are reviewed, together with literature describing adequate evaluation and management.
Key Words: Intramedullary spinal cord metastasis; Small cell carcinoma
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