Case Report: Apoplexy Associated with Prostatic Carcinoma Metastasis in Epidural Extramedullary Tumour Tissue
Avila-Cervantes Rodrigo, MD1*, Avila-Ramirez Jose, MD1, Ulibarri-Vidales Mario, MD2, Curiel-Valdes Jose de Jesus,MD3, Avila-Anguiano Emmanuel, MD3, Navarrete-Pacheco Mayra, MD2, Solorio-pineda Saul, MD4, Alvarez-Perera Luis Angel, MD5. Hernandez-Luna Jackeline, MD3 and San-Juan Daniel, MD6
1Angeles de Pedregal Hospital, Neurosurgery, Mexico City, Mexico
2Instituto Nacional de Ciencias Médicasy Nutrición Salvador Zubiran (INCMNSZ), Mexico
3HMG HOSPITAL, Coyoacán, Mexico
4Instituto Nacional de Rehabilitación de México
5Universidad Popular Autonoma del Estado de Puebla, México
6Instituto Nacional de Neurologiay Neurocirugia Manuel Velasco Suarez de México (INNNMVS), Mexico
*Corresponding Author: Dr. Avila-Cervantes Rodrigo, MD, Angeles de Pedregal Hospital, Neurosurgery, Mexico City, Mexico.
Received: October 09, 2022 Published: January 17, 2023
Abstract
Background: Prostate cancer (PCa) is unique among potentially lethal human malignancies because of the wide discrepancy between the considerable prevalence of histological changes recognizable as prostate cancer and the smaller prevalence of the clinical disease itself. Spinal Metastasis (SpM) may also be the first sign of malignancy in patients with previously undiagnosed PCa, causing numerous complications associated with the acceleration of bone resorption and an increase in bone pain, pathological fractures, and spinal cord compressions. The main treatment options for patients with SpM are analgesics, corticosteroids, chemotherapy, radiotherapy and surgery.
Case presentation: A 68-year-old man in the emergency service presented a sudden onset of chest pain, paraplegia and sphincter incontinence 24 hours priors to his admission; Magnetic resonance imaging (MRI) showed a meningeal extramedullary tumor at the level of D3 to D4 causing spinal compression, secondary syringomyelia, multiple dorsal bone metastases, mediastinal lymph node conglomerates, left dorsal scoliosis, multilevel disc extrusion with radiculopathy, a narrow dorsal canal at D3-D4 level, and, in D3-D4 D9-D10, yellow ligament hypertrophy and multilevel facet sclerosis.
Conclusions: Decompression of the spinal canal and removal of the tumour was completed, the patient was sent to physical rehabilitation. Follow-up is performed at 6 months and a year with recovery of strength and coordination of pelvic and thoracic limbs.
Keywords: prostatic carcinoma, spine, apoplexy, metastasis, tumor, cancer, tissue, surgery.
Citation: Rodrigo AC, Jose AR, Mario UV, de Jesus CVJ, Emmanuel AA, Mayra NP, Saul SP, Angel APL, Jackeline HL, Daniel SJ. Case Report: Apoplexy Associated with Prostatic Carcinoma Metastasis in Epidural Extramedullary Tumour Tissue. SVOA Neurology 2023, 4:1, 01-05.
