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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2015; 34(03): 229-231
DOI: 10.1055/s-0035-1559888
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Metástase espinhal intradural e extramedular: relato de caso

Intradural and Extramedular Spinal Metastases: Case Report
Vinícius Gonçalves dos Santos
1   Residente de Neurocirurgia do Hospital Universitário Alzira Velano, Alfenas, MG, Brasil
,
Rodrigo Alves de Carvalho Cavalcante
2   Neurocirurgião do Hospital Araújo Jorge, Goiânia, GO, Brasil
,
Romulo Alberto Silva Marques
2   Neurocirurgião do Hospital Araújo Jorge, Goiânia, GO, Brasil
,
Vladimir Arruda Zaccariotti
2   Neurocirurgião do Hospital Araújo Jorge, Goiânia, GO, Brasil
› Author Affiliations
Further Information

Publication History

28 April 2014

12 June 2015

Publication Date:
31 August 2015 (online)

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Resumo

Metástases espinhais extramedulares e intradurais são peculiares e correspondem a pequena porcentagem dos casos de tumores da coluna vertebral. Os pacientes normalmente apresentam dor e sintomas neurológicos na primeira apresentação. A imagem por ressonância magnética (RM) é crucial para confirmar a suspeita do diagnóstico. Em geral, a manipulação requer tratamento paliativo representado por radioterapia e/ou cirurgia, para evitar futuros déficits neurológicos. O objetivo do autor é apresentar um caso incomum de metástase espinhal de câncer de mama em uma paciente de 41 anos de idade, com doença sistêmica controlada.

Abstract

Intradural extramedular spinal metastases are peculiar. They correspond to small percentage of spinal tumors cases. Patients ordinarily present pain and neurological symptoms at the first presentation. The magnetic resonance image (MRI) scan is crucial to confirm a diagnosis suspicion. On the whole, its handling requires a palliative management represented by radiotherapy and/or surgery to obviate future neurological deficits. The author's aim is present an unusual spinal metastasis of the breast cancer in a 41-year-old female patient with controlled systemic disease.

Palavras-Chave

tumor espinal - compressão da medula espinal - lombalgia

Keywords

espinal tumor - spinal cord compression - low back pain
 

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