{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T11:35:08Z","timestamp":1771068908822,"version":"3.50.1"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1982,6]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The management of 10 patients with symptomatic localized intradural extramedullary spinal metastasis is reviewed. The single most common primary source was carcinoma of the breast (four cases). The initial symptom in nine patients was pain, with five patients reporting a characteristically severe cramping discomfort with radicular distribution. All patients underwent laminectomy decompression. At the time of surgery, six of the patients were weak but ambulatory and four were bedridden. Following surgery, four patients enjoyed some measure of pain relief, seven patients became ambulatory, and three remained bedridden. Two patients achieved a \u201csatisfactory\u201d result, and were walking and continent 6 months after surgery. Secondary brain tumors were demonstrated or implicated in nine patients, supporting the concept that the spinal metastases represented tertiary deposits following dissemination via the cerebrospinal fluid.<\/jats:p>\n<jats:p content-type=\"fine-print\">Symptomatic intradural extramedullary spinal metastasis causes a virulent clinical syndrome with poor prognosis and disappointing outcome after treatment. Given the high incidence of associated cerebral metastatic involvement, total neuraxis radiation and\/or chemotherapy should be considered when symptomatic spinal metastasis is discovered to be intradural and extramedullary.<\/jats:p>","DOI":"10.3171\/jns.1982.56.6.0835","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:13:51Z","timestamp":1241799231000},"page":"835-837","source":"Crossref","is-referenced-by-count":99,"title":["Intradural extramedullary spinal metastasis"],"prefix":"10.3171","volume":"56","author":[{"given":"Richard G.","family":"Perrin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth E.","family":"Livingston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bizhan","family":"Aarabi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Am J Cancer","first-page":"361","article-title":"Carcinomatosis of the meninges of the spinal cord and base of brain, without involvement of the parenchyma, secondary to carcinoma of the lung.","volume":"32","author":"Alpers","year":"1938"},{"key":"b2","series-title":"Bull Los Angeles Neurol Soc","first-page":"44","article-title":"Metastasis to spinal subdural space: report of a case.","volume":"25","author":"Beehler","year":"1960"},{"key":"b3","series-title":"Can Med Assoc J","first-page":"791","article-title":"Spinal cord compression produced by extradural malignant tumours. 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Case report.","volume":"49","author":"Hirsh","year":"1978"},{"key":"b6","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"839","DOI":"10.3171\/jns.1978.49.6.0839","article-title":"The neurosurgical management of spinal metastases causing cord and cauda equina compression.","volume":"49","author":"Livingston","year":"1978"},{"key":"b7","series-title":"Br J Cancer","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1038\/bjc.1953.44","article-title":"Secondary neoplasms of the central nervous system and meninges.","volume":"7","author":"Meyer","year":"1953"},{"key":"b8","series-title":"Br J Surg","first-page":"317","article-title":"Intrathecal spinal metastases (rare tumours).","volume":"45","author":"Rogers","year":"1958"},{"key":"b9","series-title":"Pathology of Tumours of the Nervous System","first-page":"252","author":"Russell","year":"1971"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"501","DOI":"10.3171\/jns.1965.23.5.0501","article-title":"Extradural spinal metastases and their neurosurgical treatment.","volume":"23","author":"Vieth","year":"1965"},{"key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"251","DOI":"10.3171\/jns.1979.51.2.0251","article-title":"Spinal subarachnoid metastatic spread from non-neuraxial primary neoplasms. Case report.","volume":"51","author":"West","year":"1979"},{"key":"b12","series-title":"The Spread of Tumours in the Human Body","author":"Willis","year":"1973"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/56\/6\/article-p835.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/56\/6\/article-p835.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/56\/6\/article-p835.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T12:31:32Z","timestamp":1658665892000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/56\/6\/article-p835.xml"}},"subtitle":["A report of 10 cases"],"short-title":[],"issued":{"date-parts":[[1982,6]]},"references-count":12,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/jns.1982.56.6.0835","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1982,6]]}}}