J Korean Neurosurg Soc.
2007 Apr;41(4):269-271. 10.3340/jkns.2007.41.4.269.
Spinal Cord Compression as Initial Presentation of Follicular Thyroid Carcinoma
- Affiliations
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- 1Department of Neurosurgery, National Medical Center, Seoul, Korea. chsjwa@hanmail.net
- KMID: 2018277
- DOI: http://doi.org/10.3340/jkns.2007.41.4.269
Abstract
- Follicular thyroid carcinoma with metastasis rarely manifests as spinal cord compression without any previous symptoms of its malignancy. This report describes a 64-year-old man with follicular thyroid carcinoma who presented initially with left arm motor weakness. Magnetic resonance images demonstrated severe cervical cord compression by a mass with destruction of C4 vertebra. Corpectomy of C4 and anterior interbody fusion was carried out. Histopathological study revealed a metastatic follicular carcinoma of the thyroid. We present our case, especially focused of its possible pathophysiology, with review of pertinent literatures.
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