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Radiation myelopathy of cervical spinal cord simulating intramedullary neoplasm
  1. R. Fogelholm,
  2. M. Haltia,
  3. L. C. Andersson
  1. Department of Neurology, University of Helsinki, Finland
  2. The II Department of Pathology, University of Helsinki, Finland
  3. The III Department of Pathology, University of Helsinki, Finland


    Radiation myelopathy is a well-known complication of irradiation therapy of neoplasms in the vicinity of the spinal cord. Most earlier authors have stressed the association of a normal myelogram and normal CSF protein level with this condition. One case of radiation myelopathy with a myelogram simulating intramedullary neoplasm and with extremely high CSF protein concentration is presented. Six months after myelography necropsy revealed severe atrophy of the previously thickened lower cervical spinal cord. The pathogenetic mechanisms are discussed.

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