TY - JOUR AU - Litak, Jakub AU - Szudy-Szczyrek, Aneta AU - Grochowski, Cezary AU - Janusz, Witold AU - Kamieniak, Piotr AU - Kot-Bakiera, Katarzyna AU - Szczepanek, Dariusz PY - 2017/02/24 Y2 - 2024/03/29 TI - Spinal manifestation of Multiple Myeloma - case report JF - Journal of Education, Health and Sport JA - J Educ Health Sport VL - 7 IS - 3 SE - Case Reports DO - UR - https://apcz.umk.pl/JEHS/article/view/4283 SP - 332-340 AB - <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>PL</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> <w:UseFELayout/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="&#45;-"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument></xml><![endif]--><p class="MsoNormal" style="line-height: 200%; border: none; mso-padding-alt: 0cm 0cm 0cm 0cm;"><span class="5yl5"><span style="mso-ansi-language: EN-US;" lang="EN-US">Multiple myeloma(MM) is a severe proliferative disease characterised with clonal, atypical plamocytic ploriferation in a bone marrow and abnormal monoclonal immunoglobulins in blood. MM leads to multiple organ dysfunction , patological bone fractures and diffused osteolitic leasions. MM musculosceletal changes are observed in 80 % of diagnosed cases . Vertebral column is a typical localisation. 20% of all patients suffer from spinal canal compression . Bone pain is a dominant symptom . Compressive effect on spinal canal structures can lead to irreversible changes. Early diagnose is crucial in order to prevent persistent deficits. We present a case of 65 y.o female with a lesion in cervical vertebrae, clinical symptomatology, diagnostic process and neurosurgical approach.</span></span></p><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true" DefSemiHidden="true" DefQFormat="false" DefPriority="99" LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Normal"/> <w:LsdException Locked="false" Priority="9" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="heading 1"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/> <w:LsdException Locked="false" 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