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NEUROLOGICAL DEFICIT AS A PRESENTATION OF OCCULT METASTATIC THYROID CARCINOMA
Author(s) -
Izzard Mark,
McIvor Nicholas,
Chaplin John,
Ianovski Ilia
Publication year - 2006
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2006.03898.x
Subject(s) - medicine , occult , presentation (obstetrics) , neurological deficit , work up , radiation therapy , thyroid , spinal cord compression , pediatrics , surgery , spinal cord , pathology , psychiatry , alternative medicine
Three cases of occult metastatic thyroid carcinoma presenting with neurological deficits are reviewed. In each case the patient’s initial presentation was with symptoms of neurological deficiency secondary to a spinal cord compression. All patients received a combination of surgery, external beam radiotherapy and postoperative thyroxine treatment. Two of the three patients are alive and well, able to mobilize with minor neurological dysfunction. The diagnosis and management of the patients, as well as their outcomes are reviewed, with a discussion on further management issues alongside a review of the current published work.