{"id":"2b36ee34-0395-4964-9b06-2a3a6d124fa2","slug":"thymoma-metastatic-to-the-epidural-thoracic-spine","title":"Thymoma metastatic to the epidural thoracic spine","authors":["Brandon Michael Wilkinson","Hanish Polavarapu","Sunnyhith Korsapati","Ali Hazama"],"abstract":"Background: Thymomas rarely metastasize to the spine. Here, we present a 69-year-old female diagnosed with stage IV thymoma, which subsequently developed a symptomatic epidural thoracic spinal lesion causing thoracic myelopathy. Case Description: The patient initially presented with paraspinal rib pain, lower extremity weakness, and gait imbalance. The magnetic resonance revealed a T10 vertebral body lesion with epidural extension causing severe spinal cord compression. A T9–T10 hemilaminotomy for tumor resection was performed; this was followed by adjuvant chemotherapy and radiation. Gross total resection was achieved, and the final pathology was metastatic thymoma. Postoperatively, the patient significantly improved. Conclusion: Metastatic thymomas to the thoracic spine are rare. For those presenting with epidural lesions causing myelopathy, surgical resection is beneficial and may be accompanied by adjunctive radiation and chemotherapy.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/2b36ee34-0395-4964-9b06-2a3a6d124fa2/featured/hero-1781559936826.png","publishDate":"2023-11-03T00:00:00.000Z","doi":"10.25259/SNI_786_2023","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/2b36ee34-0395-4964-9b06-2a3a6d124fa2/pdf"}