Methods: A case report of transverse syndrome secondary to compression from an intravertebral plasmocytoma.

Objective: To report a rare case of cervical cord compression.

Methods: Vienna, Austria. Methods: A 47-year-old man presented with pain over the left scapula and subsequent development of pain and sensory disturbance. Investigations showed that the entire C7 vertebra was affected by a plasmocytoma. Decompression was carried out but no stabilisation of the spinal column was performed. Seven days after surgery the patient became paraplegic. Chemotherapy produced no improvement.

Conclusions: Transverse syndrome may be a dominant feature of plasmocytoma and may resolve after immediate decompression but may recur if the spinal column is not stabilised.