Medcyclopaedia Home E-learningLibraryLexical IndexLexical TopicsGlossaryFace-a-CaseSpinal CordAcute disseminated encephalomyelitis (ADEM)Acute ischemic lesionAstrocytoma, case 1Astrocytoma, case 2Astrocytoma, case 3Astrocytoma, case 4Astrocytoma, case 5Astrocytoma, case 6Astrocytoma grade IIAstrocytoma, surgeryAVM, case 1AVM, case 2AVM, dural fistulaeCavernoma, case 1Cavernoma, case 2Cavernoma, case 3Cavernoma, case 4Cavernous angiomaDural fistula, case 1Dural fistula, case 2Dural fistula, case 3Ependymoma, case 1Ependymoma, case 2Ependymoma, case 3Ependymoma, case 4Ependymoma, case 5Ependymoma grade II, case 1Ependymoma grade II, case 2Ependymoma grade II, case 3Ependymoma grade II, case 4Ependymoma grade II, case 5Ependymoma grade II, case 6Ependymoma grade II, case 7Ependymoma grade II, case 8Ependymoma grade II, case 2Ependymoma grade II, case 10Epidermoid cyst, spinalGangliogliomaGlioblastoma grade IVHemangioblastoma, case 1Hemangioblastoma, case 2Hemangioblastoma, case 3Hemangioblastoma, case 4Hemangioblastoma, case 5Hemangioblastoma, surgeryHerpes myelitisHydatid cyst, spinal cordHydrosyringomyelia, case 1Hydrosyringomyelia, case 2Hydrosyringomyelia, case 3Hydrosyringomyelia, case 4Intramedullary- inflammatory lesionIntramedullary metastasisIschemic lesion in systemic lupus erythematosusLipoma, case 2LymphomaMetastasis, case 1Metastasis, case 2Metastasis, case 3Metastasis, case 4Multiple sclerosis, case 1Multiple sclerosis, case 2Multiple sclerosis, case 3Multiple sclerosis, case 4Multiple sclerosis, case 5Multiple sclerosis, case 6Multiple sclerosis, case 7Myxopapillary ependymoma grade I (WHO)Myxopapillary ependymoma of the conus, case 1Myxopapillary ependymoma of the conus, case 2Myxopapillary ependymomaof the conus, case 1Neurofibromatosis type IIOptic neuritis, Devic's syndrome in disseminated lupus erythematosus (SLE)Paraneoplastic encephalomyelitisPost-vaccination myelitisSarcoidosis, case 1Sarcoidosis, case 2SchwannomaSpinal cord schistosomiasisSpinal cord tuberculosisSubependymal ependymomaTancytic ependymoma grade II, case 1Tanycytic ependymoma grade II, case 2Tanycytic ependymoma grade II, case 3Transverse myelitis of unknown etiologyCerebral TumorsMR Neuro AngiographyTextbook of RadiologyTextbook of Radiology (e-paper)Medical Imaging Made EasyDownloadsMedcyclOasisAbout MedcyclopaediaContact Us
MedcycloPoll
Did you get the help you required from Medcyclopaedia™ during today's visit?
Yes
 
 (84.5%)
No
 
 (10.9%)
Undecided
 
 (4.6%)
You must be logged on to vote.
Please log in or register.
 
 
 

Metastasis, case 3

 

Clinical history
This 63-year-old patient was admitted to the emergency ward with acute paresis of the right foot. Extension was more affected (2/5) than flexion (4/5). There were no sensory disorders and no urinary disturbances. Three months before, the patient had been irradiated for lung cancer (poorly differentiated glandular epithelioma) and had subsequently undergone chemotherapy. Additionally, the patient had a known aortic aneurysm.

Neurological examination
- gait impairment due to a marked paresis of the right foot
- no sensory disorders

Emergency MRI
Image 1: Sagittal T2WI. Discrete focal enlargement of the conus due to an intramedullary, round hyperintense lesion. Note the associated extensive edema in the lower thoracic cord, been seen on the image on the right.
Image 2: Sagittal Gd T1WI. The lesion enhances intensely and homogeneously.
Image 3: Axial Gd T1WI. Shows the precise location of this small conus metastasis.

Follow-up clinical course
The patient underwent lower spinal radiotherapy and partial regression of the paresis was noted.

Search also:
- Metastasis

 

The ESNR CD-Rom Series

To view high resolution images,
please register first.

Click  here to register.

Already registered? Enter your e-mail in the window below.
Re-register

Fig. 1

Metastasis, case 3, Fig. 1
Metastasis, case 3, Fig. 2
Metastasis, case 3, Fig. 3