presentcase
|
DDLPD |
36 |
f |
thoracic(T5/T6)
|
Paresisofbothlegs.Paresthesiaofbothlegs,ascendingintosupraum-bilicalregion.2-dayterm
|
LaminectomyofT6andinternalstabilizationT5toT7.Chemotherapy(doxorubicin+ifosfamide,3courses).ResectionofT6withdorsalinstrumentationfromT5toT7andventralre-constructionplusresectionofcostae5to7.60,4Gy radiationtherapy.
|
Neurologicalrecovery.Stiffnessinthethoracicregionofthespine.Deafnessalongintercostalnerves.
|
53 months.Nolocalrecurrenceormetastasis.
|
Turanli et al. (2000) |
MLPS |
65 |
f |
lumbar |
Low back pain. Weakening of left ante-rior tibial muscle (Grade 4/5). Hyperactivity in left L4 dermatoma. Positive Lasègue test at 60° on left side. 6-week term. |
Hemilaminectomy of L3. Marginal resection of the tumor. Posterior pedicle screws from L2 to L4. |
No problems in performing daily activities. |
13 months. No local recurrence or metastasis. |
Kaneuchi et al. (2016) |
MLPS |
22 |
f |
thoracic |
Back pain. Hypalgesia and hypesthesia below level of the xiphoid cartilage. Numbness of the lower extremities. |
Laminectomy of T4 – T6. Intralesional resection. Chemotherapy (doxorubicin + ifosfamide, 3 courses). |
Rapid recovery of paralysis without any disturbance. |
18 months. No local recurrence or metastasis. |
Rovlias et al. (2017) |
MLPS |
79 |
m |
thoracic |
Aggravating weakness of lower limbs. Posterior pain. Spastic paraparesis with a fifth thoracic sensory level. 2-month term. |
Laminectomy of T4 and T5. Piece-meal subtotal excision of tumor. T3 to T7 posterior ins-trumentation. 45Gy palliative radiotherapy. |
No functional neurological improvement. Significant dorsal pain relief. |
7 months. Gradual physical deterioration. Death. |
Zhao et al., (2016) (3 cases) |
MLPS
|
44
|
m
|
sacral
|
Low back pain. Radicular pain, numbness and weakness of the left leg. Weight decrease.
|
Piece-meal resection. Lumbar-iliac fusion.
|
No details given.
|
18 months. Local recurrence and metastasis. Death.
|
|
MLPS |
37 |
m |
lumbar (L4-ilium) |
Low back pain. Radicular pain, numbness and weakness of the lower extremities. |
Piece-meal resection. Lumbar-iliac fusion. |
No details given. |
20 months. No evidence of disease. |
|
MLPS |
32 |
m |
cervical (C1-4) |
Neck pain and limitation of neck motion. Palpable mass. |
Piece-meal resection. Occipital fusion. |
No details given. |
20 months. Local recurrence and metastasis. Alive. |
Hamlat et al. (2005) |
PLPS |
45 |
f |
thoracic (T7/T8) |
Backache. Paraplegia. Sensory level at T4. Clonus and bilateral extensor plantar reflex. |
Laminectomy + instrumentation +45 Gy radiation therapy. |
No neurological improvement (paraplegia). Lung and costal area were irradiated. |
13 months. Physical deterioration. Alive. |
Lmejjati et al. (2008) |
PLPS |
35 |
m |
lumbar (L4/L5) |
Bilateral lumbosciatica. Gait abnormality. Cauda equina syndrome. No alteration in the sphincters. 2-month term. |
Surgical decompression + 45Gy radiation therapy. |
Neurological recovery. Death at 3 months. |
3 months. Death. |
de Moraes et al. (2012) |
PLPS |
60 |
f |
lumbar (L4) |
Lumbosciatica on the left side. No motor or sensory deficit. 6-month term. |
Resection of L4, L3 to L5 arthrodesis. Radiation therapy, chemotherapy. |
At 18 months, neither pain, nor neurologic deficit, recurrence, or metastasis. |
36 months. Lung metastasis. |
Halevi et al. (2015) |
PLPS |
70 |
m |
thoracic (T5) |
Sudden onset lower extremity weakness. Constipation. Back pain. |
Emergency decompressive laminectomy of T5 and T6. Radiation therapy. |
Tumor recurrence after 3 months with repeat surgery, radiation and chemotherapy. |
12 months. Widespread metastasis. Death. |
Morales-Codina et al. (2016) |
PLPS |
61 |
m |
lumbar (L1-L3) |
Bilateral lumbosciatica. Motor deficit in the lower limbs. Hypoesthesia in L1, L2, and L3. No alteration in the sphincters. Change in gait. 4-month term. |
En-bloc resection in L1, L2 and L3 + instrumentation. |
Dehiscence and a deep wound infection. Inflamma-tory polymyopathy. |
2 months. Local recurrence. Hepatic metastasis. Extensive thrombosis. Type I hepato-renal syndrome. Death. |