Surgical management of a pulmonary neuroendocrine tumor causing epidural spinal cord compression and transdural intramedullary invasion: illustrative case

This case illustrates that rapid surgical decompression can still provide benefit even for aggressive tumors causing transdural and intramedullary invasion. The decision on whether to remove the intramedullary component should be made on a case-by-case basis and guided by the patient's neurological examination in combination with imaging findings. https://thejns.org/doi/10.3171/CASE25200.