Case ReportsA Rare Intramedullary Spinal Cord Metastasis from a Retroperitoneal Leiomyosarcoma Presenting as a Non-Traumatic Spinal Cord InjuryParker, Andrew Lamberth MD; Pugh, Terrence MD; Hirsch, Mark A. PhD Author Information From the Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, Carolinas Medical Center, Charlotte, North Carolina. All correspondence and requests for reprints should be addressed to: Andrew Lamberth Parker, MD, Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, Carolinas Medical Center, 1100 Blythe Blvd, Charlotte, NC 28203. The authors had no funding or grants provided for the project. An abstract of this case report was presented as a poster board presentation at the 2016 Academy of Academic Physiatrists annual meeting in Sacramento, California. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.ajpmr.com). American Journal of Physical Medicine & Rehabilitation: July 2017 - Volume 96 - Issue 7 - p e134-e137 doi: 10.1097/PHM.0000000000000651 Buy SDC Metrics Abstract Leiomyosarcoma (LMS) is a rare but well-recognized malignant soft tissue sarcoma of smooth muscle origin. Metastases commonly occur in the lungs, liver, kidney, brain, and bone. Cases of metastatic osseous lesions or other extradural space–occupying masses secondary to LMS leading to neurologic compromise are relatively commonplace in the literature. Conversely, cases of intramedullary spinal cord metastasis (ISCM), an unusual entity as a sequela of any cancer, are exceedingly rare as a consequence of LMS. Only 2 cases of an ISCM from LMS are currently documented in the literature, and to the best of our knowledge, no case is described in the rehabilitation literature. This case report presents a patient with a history of longstanding metastatic LMS presenting with incomplete paraplegia, neurogenic bowel and bladder, and neuropathic pain. The patient was found to have an ISCM of the thoracic spinal cord. She made functional gains with concurrent inpatient rehabilitation and radiation but was unable to perform her own intermittent catheterization program, bowel program, or transfers and was unable to discharge home independently. Intramedullary spinal cord metastasis is a rare and potentially devastating consequence of LMS or any primary cancer, but can be amenable to common interventions in the acute inpatient rehabilitation setting. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.