Intramedullary metastases of bronchogenic carcinoma. Two cases
Ferroir, J.P.; Cadranel, J.; Khalil, A.; Lebreton, C.; Contant, S.; Milleron, B.
Revue Neurologique (Paris) 154(2): 166-169
1998
ISSN/ISBN: 0035-3787 PMID: 9773039 Document Number: 491307
Intramedullary metastases are uncommon. We report two cases in patients with small cell bronchogenic cancer. The clinical diagnosis was supported by T1 magnetic resonance imaging after gadolinium injection. A unique medullary metastasis associated with other metastatic localizations was observed in the first patient and multiple intramedullary metastases alone in the second. These secondary intramedullary localizations were highly sensitive to chemotherapy after the first monthly cure in the first patient and after the third in the second patient. We emphasize the importance of chemotherapy in such cases, usually associated with focal radiotherapy.