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Radiation myelopathy after radioactive iodine therapy for spine metastasis

Department of ¹Orthopaedic Surgery ²Nuclear Medicine ³Neurology and Neurobiology of Aging, Kanazawa University, Kanazawa, Japan

Correspondence: Norio Kawahara, Department of Orthopaedic Surgery, Kanazawa University, 13-1 Takaramachi, Kanazawa, 920-8641, Japan

A case of radiation myelopathy after radioactive iodine therapy is reported. This is the first report to describe radiation myelopathy after I-131 therapy. A 62-year-old female with spinal metastasis of T10 received I-131 therapy. She presented with radiation myelopathy 34 months after the irradiation. We need to recognize the possibility of this serious complication even in the case of I-131 therapy. There is a risk of radiation myelopathy even after I-131 therapy, especially in cases with spinal cord compression such as this.