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November 1973

Radiation Myelitis Simulating Tumor

Arch Neurol. 1973;29(5):352-354. doi:10.1001/archneur.1973.00490290092015

A patient treated with radiation therapy for a pharyngeal lymphoepithelioma developed a cervical cord lesion four years later. A myelogram two months prior to death showed a block at the C7-T1 level. The cerebrospinal fluid protein level was elevated and a diagnosis of metastatic intramedullary tumor was made. Autopsy demonstrated cervical radiation myelopathy with cord necrosis and swelling which had simulated an intramedullary metastasis on myelogram.