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This was associated with hoarseness of the voice, significant weight loss, and right upper arm radicular symptoms initially, progressing to paraplegia. Based on MR and CT imaging of the neck and an excision biopsy of an enlarged right supraclavicular lymph node, the histology revealed a high grade primary osteosarcoma of the cervical spine.<\/jats:p>","DOI":"10.1258\/arsr.2012.110028","type":"journal-article","created":{"date-parts":[[2013,5,3]],"date-time":"2013-05-03T14:56:19Z","timestamp":1367592979000},"page":"1-3","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Unusual Cause of Neuropathy: Extensive Dural Spread of Primary Cervical Osteosarcoma"],"prefix":"10.1258","volume":"1","author":[{"given":"Stephen N","family":"Ponnampalam","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital Tuanku Ja'afar, Seremban;"},{"name":"Cancer Research Center, Institute for Medical Research (IMR), Kuala Lumpur;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilkinson Yj","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, International Medical University (IMU), Seremban;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayyer Naveed","family":"Wazir","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, International Medical University (IMU), Seremban;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"George","sequence":"additional","affiliation":[{"name":"Department of Biomedical Imaging, University of Malaya Medical Center, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,2,1]]},"reference":[{"key":"bibr1-arsr.2012.110028","doi-asserted-by":"crossref","unstructured":"ShivesTC DahlinDC SimFH et al. 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