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Case Reports in Hepatology
Volume 2017 (2017), Article ID 8567695, 5 pages
https://doi.org/10.1155/2017/8567695
Case Report

Cervical Spinal Cord Compression: A Rare Presentation of Hepatocellular Carcinoma

1Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA
2Division of Gastroenterology, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA
3American University of Caribbean, Cupecoy, Saint Martin
4Department of Pathology, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA

Correspondence should be addressed to Puvanalingam Ayyadurai; ni.oc.oohay@558navup

Received 23 November 2016; Accepted 18 January 2017; Published 9 February 2017

Academic Editor: Fumio Imazeki

Copyright © 2017 Puvanalingam Ayyadurai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hepatocellular carcinoma (HCC) is the most common primary malignancy of liver. Distant metastasis to various organs is well known. Skeletal metastasis is also reported to various locations. Vertebral metastasis has been reported mostly to thoracic spine. However, cervical spinal cord involvement leading to cord compression has been reported very rarely in literature. We present a case of 58-year-old male with liver cirrhosis presenting as neck pain. Further work-up revealed metastatic HCC to cervical spinal cord resulting in acute cord compression. Patient has been treated with neurosurgical intervention.