A Case Of Renal Cell Carcinoma Presenting As Paraparesis With Bowel Bladder Involvment Secondary To Intramedullary Spinal Cord Metastasis (IMSCM)

Abstract

Carcinoma metastases of the spinal cord are rare diseases; the least frequent of which, is intramedullary spinal cord metastasis (ISCM). The common primary tumors of ISCM are from the lung, breast and melanoma whereas lymphoma, kidney, colon and thyroid are less common sites. There are only a few histologically confirmed reports of ISCM with renal cell carcinoma primaries. Symptoms from ISCM metastasis being the initial presentation is even more rare occurrence. As ISCMs are rare and there are no pathognomonic symptoms, diagnosis is often unduly delayed. ISCMs are generally associated with poor survival.