Leptomeningeal metastasis causing cauda equina syndrome: Rare clinical case report and 18F-FDG PET/CT, magnetic resonance imaging

  • Mai Huy Thông Bệnh viện Trung ương Quân đội 108
  • Mai Hồng Sơn Bệnh viện Trung ương Quân đội 108
  • Lê Duy Dũng Bệnh viện Trung ương Quân đội 108
  • Lê Ngọc Hà Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

MRI, 18F-FDG PET/CT, Cauda equina syndrome, leptomeningeal metastases

Abstract

Cauda Equina Syndrome (CES) in patients with malignancies is rare and has a very poor prognosis. According to the literature, leptomeningeal - cauda equina metastases are mostly seen in patients with lung cancer (50%), breast cancer (11%), colorectal cancer (3%), kidney cancer (10%), melanoma (8%) and lymphoma (4%). Metastatic cauda equina may occur in 1.65% of patients with primary lung cancer. Using contrast-enhanced MRI and 18F-FDG PET/CT are effective diagnostic methods. The early, accurate detection of metastatic lesions of meninges and spinal cord - cauda equina allows timely treatment orientation. In this article, we report a case of non-small cell lung cancer with meningeal metastases - cauda equina causing cauda equina syndrome detected by contrast-enhanced MRI and 18F-FDG. PET/CT at 108 Military Central Hospital.

Article Details

References

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