Embolization of solitary spinal metastases from renal cell carcinoma: alternative therapy for spinal cord or nerve root compression

Surg Neurol. 1989 Apr;31(4):268-71. doi: 10.1016/0090-3019(89)90050-5.

Abstract

Four patients with a solitary vertebral metastasis from a renal cell carcinoma presented with acute spinal cord or nerve root compression. Because of the markedly hypervascular nature of the metastases it was decided to palliate the lesions by transarterial catheter embolization. The embolization reduced the venous blood pool within the tumors, resulting in progressive neurological improvement often lasting for 12 weeks or more. With such palliation, surgical decompression may be obviated, postponed, or at least made manageable.

MeSH terms

  • Aged
  • Carcinoma, Renal Cell / complications
  • Carcinoma, Renal Cell / diagnostic imaging
  • Carcinoma, Renal Cell / secondary
  • Carcinoma, Renal Cell / therapy*
  • Embolization, Therapeutic*
  • Female
  • Humans
  • Kidney Neoplasms
  • Male
  • Middle Aged
  • Nerve Compression Syndromes / etiology
  • Nerve Compression Syndromes / therapy*
  • Radiography
  • Spinal Cord Compression / diagnostic imaging
  • Spinal Cord Compression / etiology
  • Spinal Cord Compression / therapy*
  • Spinal Neoplasms / complications
  • Spinal Neoplasms / diagnostic imaging
  • Spinal Neoplasms / secondary
  • Spinal Neoplasms / therapy*
  • Spinal Nerve Roots*