A case of spinal intradural metastasis of renal cell carcinoma.
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A fifty-year-oldman was admitted to our hospital on 9 October 1985, because of severe pain in his low back radiating down to the left leg. On admission he couldn't move his left ankle and toe dorsally. About a week after admission he couldn't move his both knees and ankles and toes at all, and developed urinary and fecal incontinence. His knee and ankle jerks were absent bilaterally. There was an area of hypesthesia in the segmental area of L4-L5.Myelography demonstrated a complete block at the level between L3 and L5. On 24 October a laminectomy from L3 to L4 was performed. We couldn't see any abnormality in epidural space. But in the intradural space we could see many small tumors attaching to the cauda equina.We removed them as much as possible.They were diagnosed pathologically that the metastasis of renal cell carcinoma.After operation his severe pain diminished and he came to able to walk on crutches with short leg brace. But We think his recurrence of the tumor is inevitable and we must observe it.
- 西日本整形・災害外科学会の論文
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