Intensity-Modulated Stereotactic Radiotherapy for Intramedullary Cervical Spinal Metastases: Report of 2 Cases


Yoshimasa Mori, MD, Shinyurigaoka General Hospital in Kawasaki, Japan discusses intensity-modulated stereotactic radiotherapy for intramedullary cervical spine metastases. He uses two intramedullary cervical spinal cord single metastases cases as the focus of this talk, both of which were treated successfully with IMRT and ExacTrac. The first is a radio-resistant metastasis from a thyroid carcinoma located at C6-7.  The second is a metastasis from a lung adenocarcinoma located at C2, which was close to the field that was previously treated with whole brain radiation therapy (WBRT).


Video Transcript

I am much honored to have the opportunity to give a [inaudible 00:00:05] presentation in Novalis Circle conference here. Two cases of intramedullary cervical spinal cord metastases are presented. Both were successfully treated by VMAT-IMRT using Novalis TrueBeam STx. Case 1, 76-year-old female, C6-7 tumor. The tumor was totally covered by spinal medullary parenchyma. The symptoms were dysesthesia in both legs, and left-sided hemiparesis, and left shoulder pain. The patient had thyroid carcinoma, so it may be relatively radioresistant we think so. Case 2, 48-year-old male. The tumor is at the C2 level and it was asymptomatic, but the patient...

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