central-nervous-system-2016_posters-accepted-abstracts

15 / 42

Notes:
Page 71
CNS 2016
December 05-07, 2016
Volume 7, Issue 5(Suppl) J Neurol Neurophysiol
ISSN: 2155-9562 JNN, an open access journal
conferenceseries .com
December 05-07, 2016 Dubai, UAE
2nd International Conference on
Central Nervous System Disorders & Therapeutics
Shiela M Ramos, J Neurol Neurophysiol 2016, 7:5(Suppl)
Spinal cord metastasis presenting as the first manifestation of rectal adenocarcinoma: Acase report
Shiela M Ramos
Ospital ng Makati, Philippines
Introduction: Spine is the third most common site for metastatic cancer. In fact, only one to three percent of tumors found in
the spinal cord are metastatic. Spinal cord metastasis is very rare as initial manifestation of Cancer. Few patients with no known
comorbids presents initially as neurologic manifestation and deficits. Rarely, patients demonstrate features of paraparesis.
Radiotherapy is the gold-standard of therapy for spinal cord metastasis. The overall prognosis is poor and the mortality rate is
very high. We present what is, to the best of our knowledge, the first case of spinal cord metastasis of rectal adenocarcinoma
presenting with paraparesis at Ospital ng Makati, Philippines.
Case Description: A 64 year old male presented with an isolated spinal cord metastasis which presents as first manifestation
of malignancy without central nervous system involvement. Patient underwent laboratory and diagnostic work-up. After
radiological work up, MRI revealed an enhancing epidural soft tissue at level of T3 causing severe cord compression, with
narrowing of the spinal canal. Proctosigmoidoscopy with biopsy revealed rectal adenocarcinoma. Patient is still alive after 3
months of diagnosis.
Conclusion: The patient had spinal cordmetastasis secondary to rectal adenocarcinoma.The disease first manifest as neurologic
symptom as paraparesis, which is very uncommon condition in an asymptomatic patient. This unique case has particular
interest in medicine, especially for the specialties of medical, surgical and radiation oncology. Whole-body investigation might
help for diagnosis of primary focus and approach to treatment.
Biography
Shiela M Ramos is currently working in the Department of the Internal Medicine at Ospital ng Makati, Philippines. Ramos has published several original research
papers in the reputed journals and has also participated in the several scientific meetings.