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Unusual association of diseases/symptoms
The occult nature of intramedullary spinal cord metastases from renal cell carcinoma
  1. Zaitun Zakaria1,
  2. Eoin Fenton1,
  3. Michael Jansen2,
  4. David O'Brien1
  1. 1Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland
  2. 2Department of neuropathology, Beaumont Hospital, Dublin, Ireland
  1. Correspondence to Dr Zaitun Zakaria, zakariaz{at}


Renal cell carcinomas (RCC) are characterised by a tendency to metastasise widely, often while remaining occult. Intramedullary spinal cord metastases (ISCM) from RCC may be the presenting feature of the disease or present at any time in the disease course. This case report discusses an ISCM from RCC which became manifested at the time of resection of the primary tumour. We review the literature published on ISCM from RCC from 1990 to date comparing disease characteristics and presentations.

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