Positive outcome of nonoperative management of spinal cord compression by multiple myeloma: A case report

BACKGROUND: Spinal cord compression (SCC) is a severe consequence of multiple myeloma (MM). Surgical management is appropriate when there are spinal instability and neurological function compromise. The reversibility of peripheral neuropathy during treatment of MM has been reported in some studies a...

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Detalles Bibliográficos
Autores principales: Obame, Fresnel Lutèce Ontsi, Dokponou, Yao Christian Hugues, Laaguili, Jawad, Mouhssani, Mohamed, Saad, Moussa Elmi, Asri, Abad Chérif El, Gazzaz, Miloudi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9899448/
https://www.ncbi.nlm.nih.gov/pubmed/36751460
http://dx.doi.org/10.25259/SNI_1030_2022
Descripción
Sumario:BACKGROUND: Spinal cord compression (SCC) is a severe consequence of multiple myeloma (MM). Surgical management is appropriate when there are spinal instability and neurological function compromise. The reversibility of peripheral neuropathy during treatment of MM has been reported in some studies after a cycle of Bortezomib (Velcade), Thalidomide, and Dexamethasone (VTD), but very rare in myeloma patients with SCC. CASE DESCRIPTION: We report a case of a 58-year-old male tetraplegic secondary to cervical SCC by MM who completely recovered after 5 cycles of VTD chemotherapy without surgery. CONCLUSION: Surgical spinal cord decompression by laminectomy is known as the gold standard for treating this condition. Nevertheless, some patients can completely recover from nervous insult without surgery.

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