Cord Compression Caused by Multiple Myeloma; A Case Report and Review Diagnostic Imaging

Authors

  • Uthis Tanratanawong, M.D. Diagnostic Imaging Unit, Huahin Hospital, Prachuabkhirikhan

Abstract

     Spinal cord compression caused by multiple myeloma is not a common first presentation of the patients. A 65 year old man presented with progressive paraparesis. MRI images revealed tumor in T3 vertebra, which were low signal intensity curvilinear areas within the vertebra or cortical irregularity. The tumor had epidural extension and caused cord compression.

Author Biography

Uthis Tanratanawong, M.D., Diagnostic Imaging Unit, Huahin Hospital, Prachuabkhirikhan

Thai Board of Radiology

References

1. Barlogie B, Shaughnessy J, Sanderson R, et al. Plasma cell myeloma. In: Lichtman MA, Beutler E, Kaushansky K, et al, editors. Williams’ Hematology. 7 ed. New York: McGraw-Hill; 2005. p. 1501-33.

2. Munshi NC, Longo DL, Anderson KC. Plasma cell disorder. In: Longo DL, Fauci AS, Kasper DL, et al, editors. Harrison’s Principle of Internal Medicine. 18 ed. New York: McGraw-Hill; 2012. p. 936-44.

3. Kyle RA, Gertz MA, Witzig TE, et al. Review of 1027 patients with newly diagnosed multiple myeloma. Mayo Clin Proc 2003;78(1):21-33.

4. Chakraborti C, Miller KL. Multiple myeloma presenting as spinal cord compression: a case report. J Med Case Rep 2010;4:251.

5. Rajkumar SV, Dimopoulos MA, Palumbo A, et al. International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet Oncol 2014;15(12):e538-48.

6. Angtuaco EJ, Fassas AB, Walker RC, et al. Multiple myeloma: clinical review an diagnosis Imaging. Radiology 2004;231(1):11-23.

7. Moulopoulos LA, Varma DG, Dimopoulos MA, et al. Multiple myeloma: spinal MR imaging in patients with untreated newly diagnosed disease. Radiology 1992;185(3):833-40.

8. Shah BK, Saifuddin A, Price GJ. Magnetic resonance imaging of spinal plasmacytoma. Clin Radiol 2000;55(6):439-45.

Downloads

Published

2018-05-21

How to Cite

1.
Tanratanawong U. Cord Compression Caused by Multiple Myeloma; A Case Report and Review Diagnostic Imaging. Reg 4-5 Med J [internet]. 2018 May 21 [cited 2025 Dec. 31];34(2):154-61. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/124853

Issue

Section

Case Report