Concomitant Acute Motor Sensory Axonal Neuropathy and Squamous Lung Cancer-Induced Intramedullary Spinal Cord Metastasis

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Fateh Hamid Reza; KHOSHNEVISAN ALIREZA; Meshkini Mina; Heidari Aidin

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Journal Paper

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Journal: Case Reports in Clinical Practice Year:2019 | Volume:4 | Issue:2 Page(s): 29-34

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Title

Concomitant Acute Motor Sensory Axonal Neuropathy and Squamous Lung Cancer-Induced Intramedullary Spinal Cord Metastasis

Author(s)

Fateh Hamid Reza | KHOSHNEVISAN ALIREZA | Meshkini Mina | Heidari Aidin | Issue Writer Certificate

Keywords

Acute motor sensory axonal polyneuropathy

Lung cancer

Spinal cord metastasis

Acute flaccid paralysis

Paraneoplastic syndromes

Abstract

Intramedullary Spinal Cord Metastases (ISCMs) are rare, especially in squamous non-small cell Lung cancer simultaneous with Acute Motor and Sensory Axonal Neuropathy (AMSAN); diagnosing these phenomena may be challenging. We report a 56-year-old man presenting with rapidly symmetrical progressive ascending weakness and paresthesia, especially in lower extremities, urinary and fecal incontinence, without any pain or respiratory symptoms. Thoracic spine MRI with and without gadolinium revealed an enhancing intramedullary lesion at the T3-T5 level. Chest CT discovered subpleural pulmonary lesion. The result lung biopsy was consistent with poorly differentiated squamous cell carcinoma, and electrodiagnosis noted severe axonal loss in motor and sensory studies with significant membrane instability and neurogenic findings in electromyography. After 8 months, the patient received just one cycle of chemotherapy and died 6 months later. AMSAN was associated with ISCM of nonsmall cell Lung cancer in this case, who has not been previously reported in the literature.

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APA: Copy

Fateh, Hamid Reza, KHOSHNEVISAN, ALIREZA, Meshkini, Mina, & Heidari, Aidin. (2019). Concomitant Acute Motor Sensory Axonal Neuropathy and Squamous Lung Cancer-Induced Intramedullary Spinal Cord Metastasis. CASE REPORTS IN CLINICAL PRACTICE, 4(2), 29-34. SID. https://sid.ir/paper/761555/en

Vancouver: Copy

Fateh Hamid Reza, KHOSHNEVISAN ALIREZA, Meshkini Mina, Heidari Aidin. Concomitant Acute Motor Sensory Axonal Neuropathy and Squamous Lung Cancer-Induced Intramedullary Spinal Cord Metastasis. CASE REPORTS IN CLINICAL PRACTICE[Internet]. 2019;4(2):29-34. Available from: https://sid.ir/paper/761555/en

IEEE: Copy

Hamid Reza Fateh, ALIREZA KHOSHNEVISAN, Mina Meshkini, and Aidin Heidari, “Concomitant Acute Motor Sensory Axonal Neuropathy and Squamous Lung Cancer-Induced Intramedullary Spinal Cord Metastasis,” CASE REPORTS IN CLINICAL PRACTICE, vol. 4, no. 2, pp. 29–34, 2019, [Online]. Available: https://sid.ir/paper/761555/en

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