Gradual Recovery from Nonambulatory Quadriparesis Caused by Metastatic Epidural Cervical Cord Compression in an Octogenarian Gallbladder Carcinoma Patient Treated with Image-Guided Three-Dimensional Conformal Radiotherapy Alone Using a Field-in-Field Technique
Table 2
Clinical course after the commencement of radiotherapy.
Time course
Neurological function and other events
Days 1–10
Radiotherapy (days 5, 6: none)
Day 20
Significant pain reduction
Day 23
Being able to keep the Fowler’s position
Day 29
Improvement in the right elbow movement
Day 38
Being able to keep sitting under full assistance
Day 39
Being able to move the right fingers (pinching)
Day 45
Being able to move the left upper extremity/removal of urethral catheter
Day 49
Being able to keep sitting without assistance
Day 50
Being able to move the lower extremities
Day 56
Significant decrease in numbness of the upper extremities
Day 65
Being able to keep standing under holding onto parallel bars
Day 77
Being able to perform stepping in place
Day 85
Initiation of gait training in parallel bars
Day 120
Being able to walk slowly with the aid of a walker
Day 128
Attempt at transarterial chemoembolization
Day 203
Transfer to another hospital for continuing rehabilitation
Day 238
General condition declined owing to progression of abdominal disease
