J Neurol Surg Rep 2012; 73(01): 009-013
DOI: 10.1055/s-0032-1301405
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Metastatic Prostate Mass to the Intradural Foramen Magnum Region: A Case Report

Joseph Quillin
1   Department of Neurosurgery, LSU HSC Shreveport, Shreveport, Louisiana
,
Prashant Chittiboina
1   Department of Neurosurgery, LSU HSC Shreveport, Shreveport, Louisiana
,
Justin Haydel
1   Department of Neurosurgery, LSU HSC Shreveport, Shreveport, Louisiana
,
Anil Nanda
1   Department of Neurosurgery, LSU HSC Shreveport, Shreveport, Louisiana
› Author Affiliations
Further Information

Publication History

30 June 2011

05 October 2011

Publication Date:
21 February 2012 (online)

Abstract

Intradural metastatic tumors of the foramen magnum region are extremely rare tumors. We report a 73-year-old patient that presented with right hemiparesis and a recent history of prostate biopsy for an enlarged prostate. Imaging revealed an anterolateral intradural foramen magnum mass with compression of the medulla. A right far lateral approach with condyle preservation was used to resect the mass. Pathological examination revealed the tumor as a metastatic prostate mass. The patient had a significant recovery of motor function and was given adjuvant external beam radiation. At the time of last follow-up, the patient had good clinical relief from the preoperative symptoms. To our knowledge, this is the first reported case of an intradural foramen magnum prostate tumor metastasis. We report on multimodal management of this rare, yet morbid presentation of a common tumor.

 
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