Intramedullary spinal cord metastasis from an adenoid cystic carcinoma of the external auditory canal: case report.

Br J Neurosurg

Department of Neurosciences, Biomedicine and Movement Sciences, Section of Neurosurgery, Borgo Trento University Hospital, University of Verona, Verona, Italy.

Published: May 2021

Background And Importance: Intramedullary spinal cord metastases (ISCMs) are rare and no cases of ISCM from an adenoid cystic carcinoma (ACC) of the external auditory canal (EAC) have been reported.

Clinical Presentation: We report a 54-year old man complaining backpain and worsening myelopathy. He had an ACC of the EAC resected years prior. A spinal MRI demonstrated a contrast-enhancing intramedullary lesion within the conus medullaris. The histopathological diagnosis of the patient was consistent with the patient's primary cancer. At 3 months follow-up, the neurological condition of the patient was unchanged.

Conclusions: This is the first reported case of ISCM from a primary ACC of the EAC.

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http://dx.doi.org/10.1080/02688697.2021.1923653DOI Listing

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