Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Urol. Mar 24, 2016; 5(1): 72-74
Published online Mar 24, 2016. doi: 10.5410/wjcu.v5.i1.72
Case of intramedullary spinal cord metastasis of renal cell carcinoma
Hideo Soga, Osamu Imanishi
Hideo Soga, Department of Urology, Sanda City Hospital, Sanda, Hyogo 669-132, Japan
Osamu Imanishi, Department of Urology, Imanishi Urological Clinic, Kobe, Hyogo 657-0846, Japan
Author contributions: All authors contributed equally to this work.
Institutional review board statement: None.
Informed consent statement: None.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Hideo Soga, MD, PhD, Department of Urology, Sanda City Hospital, 3-1-1, Keyaki-dai, Sanda, Hyogo 669-132, Japan. uro-hideo@pop11.odn.ne.jp
Telephone: +81-79-5658000 Fax: +81-79-5658017
Received: June 6, 2015
Peer-review started: June 10, 2015
First decision: August 18, 2015
Revised: November 13, 2015
Accepted: December 17, 2015
Article in press: December 18, 2015
Published online: March 24, 2016
Core Tip

Core tip: Intramedullary spinal cord metastasis (ISCM) is extremely rare in renal cancer. A 69-year-old man with a medical history of renal cell carcinoma presented with urinary retention and bilateral paralysis of the lower extremities. A neurological examination revealed bilateral paraparesis below L1. ISCM of renal cell carcinoma was diagnosed via thracolumbar gadolinium-enhanced magnetic resonance imaging (MRI). In a case involving neurological features and if brain or bone metastasis or spinal cord compression is not clearly observed, gadolinium-enhanced MRI should be performed to reveal the existence of ISCM.