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Case Reports in Neurological Medicine
Volume 2012, Article ID 617280, 4 pages
Case Report

Isolated Solitary Intramedullary Spinal Cord Metastasis Presenting as the First Manifestation of Small-Cell Lung Cancer: Report of a Rare Case

1Department of Neurosurgery, Faculty of Medicine, Celal Bayar University, 45040 Manisa, Turkey
2Department of Pathology, Faculty of Medicine, Celal Bayar University, 45040 Manisa, Turkey

Received 15 November 2012; Accepted 15 December 2012

Academic Editors: R. Hashimoto, R. Koide, and N. I. Mejia

Copyright © 2012 Yusuf Kurtuluş Duransoy 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.


Background. Intramedullary spinal cord metastases presenting as the first manifestation of malignancies are extremely rare lesions. Case Description. The authors report a 74-year-old woman who presented with an isolated intramedullary spinal cord metastasis which presents as first manifestation of malignancy without central nervous system and/or other organ involvement. She went under surgery, and after histopathological evaluation, primary focus was determined in lung in positron emission tomography. She is still alive after 9 months since the first diagnosis of primary focus. Conclusion. In patients with solitary intramedullary lesion in the spinal magnetic resonance imaging, whole-body investigation might help for diagnosis of primary focus and approach to treatment.