VERTEBRAL COLLAPSE WITH QUADRAPARESIS DUE TO METASTATIC GLIOBLA MULTIFORME - CASE-REPORT AND REVIEW OF THE LITERATURE

被引:20
作者
CHESNUT, RM
ABITBOL, JJ
CHAMBERLAIN, M
MARSHALL, LF
机构
[1] UNIV CALIF SAN DIEGO, MED CTR, DEPT ORTHOPAED, SAN DIEGO, CA 92103 USA
[2] UNIV CALIF SAN DIEGO, MED CTR, DEPT NEUROSCI, SAN DIEGO, CA 92103 USA
关键词
GLIOBLASTOMA MULTIFORME; SPINAL INSTABILITY; SPINAL CORD COMPRESSION; SPINAL NEOPLASMS; NEOPLASMS-METASTASIS; COMBINED MODALITY THERAPY;
D O I
10.1007/BF01324700
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A case is reported of a patient rendered quadraparetic following collapse of a cervical vertebra due to neoplastic invasion by metastatic glioblastoma multiforme. The case is discussed in light of a review of the world literature regarding the clinical incidence and significance of metastasis of glial tumors. It is recommended that all patients with high grade glial tumors who complain of back pain be evaluated with plain radiographs and MRI of the spine or Tc-99 bone scan. The management of pathologic spine fractures from metastatic glial tumors with accompanying spinal instability or spinal cord compression due to intracanalicular bone should aim for immediate surgical decompression and stabilization followed by involved field irradiation.
引用
收藏
页码:135 / 140
页数:6
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