OBJECTIVE: @entity263 is a well known cause of spinal column metastases; however, an intradural location is extremely rare. It is considered to be a type of leptomeningeal spread. Cerebral seeding has usually occurred by the time of presentation. Due to a poor prognosis, surgery is rarely indicated, and controversially discussed. @entity1 AND RESULTS: We review the known cases of @entity263 spread, including our @entity1 , who developed paraparesis over 6 weeks, 3 years after @entity263 was diagnosed. Following surgical decompression and resection, the @entity1 additionally received radiation therapy of the spinal meninges and antihormonal treatment. 6 months after surgery, the @entity1 is still ambulatory with a good quality of life. CONCLUSION: Spinal leptomeningeal metastases occur at a late stage of @entity262 , and the prognosis is generally poor. In the literature, outcomes after surgery are reported as devastating, with mortality and morbidity rates of up to 20% and 60%. The aim of surgery is to relieve @entity158 , preserve or even restore neurological function, and reveal histology if uncertain. This may be achieved by debulking the @entity5 without placing the @entity1 at an unacceptably high risk. Surgery should be performed in selected cases of spinal leptomeningeal metastases, in @entity1 who are still ambulatory with controlled @entity262 , and should be followed by adjuvant therapy.

Spinal leptomeningeal metastases from XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENT'] @entity263 :: ('MESH:D011471', 'Disease') :: ['spinal leptomeningeal prostate cancer', 'prostate cancer', 'Prostate cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity262 :: ('MESH:D034721', 'Disease') :: ['systemic disease'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity263 :: (MESH:D011471,Disease) :: ['prostate cancer']
