Boutaleb Joud, Chahboun Ouafae, Messari Loubna, Ouijdane Zamani, Rachida Saouab, Jamal El Fenni
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 2
Issue: 9
Date of Publication: 2025/09/10
Intradural extra medullary (IDEM) metastases are uncommon spinal lesions, accounting for less than 5% of all spinal metastases (1). Breast carcinoma is among the most frequently reported primaries. Because of their rarity and nonspecific imaging features, the diagnosis remains challenging due to imaging overlap with benign intradural tumors. Management is mainly palliative, combining surgical decompression and or radiotherapy, with systemic therapy as indicated. Prognosis remains poor, but prompt recognition can improve quality of life and functional outcomes.
We report the case of a woman with a history of breast carcinoma under oncologic follow-up who developed neurological symptoms. Spinal MRI revealed an intradural extra medullary lesion. Surgical resection was performed for decompression and histopathological analysis confirmed metastatic breast carcinoma.
Breast cancer, intradural extra medullary metastasis, spinal metastasis.
Download PDF