Gradual Recovery from Nonambulatory Quadriparesis Caused by Metastatic Epidural Cervical Cord Compression in an Octogenarian Gallbladder Carcinoma Patient Treated with Image-Guided Three-Dimensional Conformal Radiotherapy Alone Using a Field-in-Field Technique
Figure 1
Magnetic resonance images: (a), (b) sagittal views; (c), (d) axial view at the fifth cervical vertebra (C5); and (e), (f) plain radiographs before (a), (c), and (e) and 3 months after (b), (d), and (f) radiotherapy. The arrows (a), (c) indicate the epidural mass involving the spinous process, laminae, and pedicles at C5 and compressing the spinal cord circumferentially. Plain radiographs showing an osteolytic change in the spinous process at C5 (arrow) and subsequent reossification (dashed arrow).
