Can neck swelling lead to spinal cord compression?

作     者：Emanuele Costi Elena Roca Fabio Spanu Federico Nicolosi Giovanni Nodari Marco Fontanella Pier Paolo Panciani 

作者机构：Department of Neuroscience Division of Neurosurgery University of Brescia 25123 Brescia Italy Department of Neuro-science Division of Neurosurgery University of Torino 10126 Torino Italy 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2013年第1卷第1期

页      面：56-58页

核心收录：

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

主　　题：Carcinosarcoma Spinal cord compression Spine surgery Tetraparesis Pulmonary sarcomatoid carcinoma 

摘      要：Spinal cord compression(SCC) caused by cervical spinal canal invasion of a pulmonary sarcomatoid carcinoma metastasis has never been reported previously. A 59-year-old man, with a history of pulmonary carcinosarcoma, developed over several weeks important neck swelling. Admitted to our division with severe tetraparesis he underwent a cervical spine computed tomography scan that showed a large cervical mass measuring 11 cm × 27 cm × 17 cm with SCC, extending from the occiput to C7. Emergency spinal cord decompression was performed leading to minor neurological improvement. Poor outcome was due to the unusual clinical sign that led to late diagnosis and treatment.