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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(02): 302-309
DOI: 10.1055/s-0042-1750806
Case Report

Intradural Extramedullary Metastasis from Primary Carcinoma of Breast via Brachial Plexus Perineural Spread: A Case Report and Review of Literature

Anurag Chandrakant Dandekar
1   Department of Neurosurgery, Hospital & Medical Research Centre, Marine Lines, Mumbai, Maharashtra, India
,
Mahesh P. Chaudhari
2   Department of Neurosurgery, Bombay Hospital & Medical Research Centre, Marine Lines, Mumbai, Maharashtra, India
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Abstract

Intradural extramedullary metastasis from breast carcinoma is a rare occurrence. Furthermore, patients with primary breast carcinoma presenting with neurological symptoms in the first place are even rarer, which was the case in our patient. A 60-year-old woman presented with left upper limb monoparesis for 2 years and rapidly progressive weakness in the left lower limb for 1 week. The patient was evaluated and investigated to find primary left breast carcinoma with metastasis to multiple sites including C5-T1 intradural extramedullary spread. The patient was treated surgically, and decompression and tissue diagnosis were achieved to form a base for starting adjuvant therapy and safeguarding further neurological deterioration due to cord compression. In advanced metastatic cancer, preservation of neurologic function is the goal of surgical treatment. Thorough evaluation of patients presenting with a neurological deficit is always mandatory. Patient education is equally important for palliative treatment as well as to help reduce the burden of metastatic diseases.

Keywords

intradural metastasis - breast carcinoma - brachial plexus - brachial plexopathy - perineural spread


Publication History

Article published online:
24 August 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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