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(A-D) The patient's spinal MRI showed multiple abnormal signals in the central canal of spinal cord, as shown by the arrow.
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F1
Cervical MRI plain scan and enhanced scan done at the local hospital revealed multiple abnormal signals in the central canal of spinal cord on November 28, 2021 (Figure 1).
(A) Cerebrospinal fluid cytology showed atypical tumor cells, as shown by the arrow. (B) The CSF aspired was yellowish and viscous compared with the clear water.
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F2
CSF routine test showed high intracranial pressure (240 mmH2O, normal range: 80-180 mmH2O). CSF was yellow and cloudy (Figure 2B), the Pandy test was strongly positive (++++), the protein was 46 g/L (normal range 0.15-0.45 g/L), which was an unbelievable result. CSF cytology specimens were performed twice and were finally positive for malignant cells (Figure 2A).