Spinal cord involvement in leukemia: a review of the literature and a case of Ph1+ acute myeloid leukemia presenting with a conus medullaris syndrome.

Abstract:

:A 21-year-old male with Ph1 positive acute myeloid leukemia (AML) became constipated, experienced pain in the sacral area and retained urine. These were the principle presenting complaints of his disease. With local radiotherapy and systemic chemotherapy, all neurologic symptoms and signs disappeared within three days. A conus medullaris syndrome is uncommon in leukemia, as we were able to find only three other such patients in the literature and three others with the closely related cauda equina syndrome. A literature review of spinal cord involvement in leukemia in general revealed 67 reasonably well-described cases. Compilation of data from these suggests it is most often seen in patients with AML and that it is most common in the second decade of life. Tumors extrinsic to but compressing the cord are the most common finding and the thoracic cord is the most common site of involvement.

journal_name

Cancer

journal_title

Cancer

authors

Petursson SR,Boggs DR

doi

10.1002/1097-0142(19810115)47:2<346::aid-cncr28204

subject

Has Abstract

pub_date

1981-01-15 00:00:00

pages

346-50

issue

2

eissn

0008-543X

issn

1097-0142

journal_volume

47

pub_type

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