American Journal of Clinical Neurology and Neurosurgery
Articles Information
American Journal of Clinical Neurology and Neurosurgery, Vol.1, No.2, Sep. 2015, Pub. Date: Aug. 27, 2015
“Occult Renal Cell Carcinoma with Initial Presentation of Pulmonary Embolism and Cervical Vertebra Metastases”: Review
Pages: 117-120 Views: 2471 Downloads: 1225
[01] Ankit Bansal, Department of Neurosurgery, Neurosciences Centre, AIIMS New Delhi, India.
[02] Guru Dutta Satyarthee, Department of Neurosurgery, Neurosciences Centre, AIIMS New Delhi, India.
Renal cell carcinoma presenting with pulmonary embolism is rare occurrence as evident by published few isolated case reports. However pulmonary embolism associated with compressive myelopathy as presentation is not reported. Authors reports a 32 – years - female who presented with complaints of rapidly progressing difficulty and shortness of breath along with numbness and spastic quadriparesis for seven days and also developing painful swelling involving right upper limb for 5 days. CT pulmonary angiography confirmed diagnosis of pulmonary embolism; Doppler study also revealed thrombosis of right basilic and cephalic veins and managed with anticoagulants. On further evaluation, she was detected to have mass lesion in right kidney and osteolytic lesion of C6 vertebral body. She underwent C6 corpectomy and anterior cervical plating followed by radical right nephrectomy. Our case is unique as it had both pulmonary embolism and cervical myelopathy as initial manifestation of renal cell carcinoma.
Occult Renal Cell Carcinoma, Pulmonary Embolism, Surgery, Cervical Vertebral Osteolytic Lesion, Myelopathy
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