Abstract
Intramedullary spinal cord metastases (ISCMs) represent a rare complication of malignancies and have been identified...
Highlights
Intramedullary spinal cord metastases (ISCMs) represent a rare complication of malignancies and have been identified in 0.92.1% of all autopsy cases of cancer [1,2,3]
ISCMs from breast cancer are rare and usually solitary. This is the first case reported in the literature of two adjacent simultaneous intramedullary lesions
In this report we describe the case of a 49 year-old woman, affected by breast cancer, we have operated on for two adjacent cervical ISCMs
Summary
This is the first case described in literature where two different intramedullary metastases from breast cancer occurred simultaneously, in absence of any other systemic repetitive lesion. We reported two different modalities of surgical resection of ISCMs, with and without ultrasound aspirator, used during the same operation, with side effects of this surgical tool on spinal cord parenchyma, as demonstrated by IONM. Our report highlights the importance of using multimodal IONM in order to improve the safety of the surgical procedure, preserving neuronal structures and achieving an optimal postoperative outcome [37]. The use of ultrasound aspirator should be limited to those tumors whose firm consistency prevents other surgical strategies to be applied
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