Transcatheter arterial embolization for relapsed spinal metastatic paraganglioma: A case report

Spinal metastasis is a rare presentation of paraganglioma and an effective therapy for nonresectable spinal metastatic paraganglioma (MPG) has not yet been established. We report the case of a 42-year-old woman with metastatic spinal cord compression caused by a relapsed spinal MPG after decompressi...

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Detalles Bibliográficos
Autores principales: Makino, Wataru, Heianna, Joichi, Toguchi, Masafumi, Teruya, Taiki, Murayama, Sadayuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Spine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536615/
https://www.ncbi.nlm.nih.gov/pubmed/31193579
http://dx.doi.org/10.1016/j.radcr.2019.05.004
Descripción
Sumario:Spinal metastasis is a rare presentation of paraganglioma and an effective therapy for nonresectable spinal metastatic paraganglioma (MPG) has not yet been established. We report the case of a 42-year-old woman with metastatic spinal cord compression caused by a relapsed spinal MPG after decompressive surgery. We performed transcatheter arterial embolization (TAE) in addition to systemic chemotherapy. After TAE, the neurologic symptoms improved, and the back pain was reduced. After 3 sessions of TAE, MRI revealed that the tumor at the level of the seventh thoracic vertebra had shrunk and the pressure on spinal cord had decreased. TAE might be a feasible treatment option for spinal MPG, even after surgery or irradiation.

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