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    Tumors of Spinal Cord

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    Karam Saad
    This document discusses spinal cord and root compression. It can be caused by expanding disease processes in the spinal cord cavity. Manifestations depend on the site and level of compression, and can include root or cord damage, causing lower motor neuron or upper motor neuron signs. Tumors are a common cause of compression and can be extradural, intradural extramedullary, or intramedullary. Pain, motor disturbances, sensory changes, and sphincter disturbances are common symptoms. Diagnosis involves imaging like MRI, CT, or myelography. Treatment options include surgical decompression, radiation, chemotherapy, or management of symptoms. Prognosis depends on the specific condition and how much damage has already occurred.

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    Tumors of Spinal Cord

    Uploaded by

    Karam Saad
    227 views17 pages
    This document discusses spinal cord and root compression. It can be caused by expanding disease processes in the spinal cord cavity. Manifestations depend on the site and level of compression, and can include root or cord damage, causing lower motor neuron or upper motor neuron signs. Tumors are a common cause of compression and can be extradural, intradural extramedullary, or intramedullary. Pain, motor disturbances, sensory changes, and sphincter disturbances are common symptoms. Diagnosis involves imaging like MRI, CT, or myelography. Treatment options include surgical decompression, radiation, chemotherapy, or management of symptoms. Prognosis depends on the specific condition and how much damage has already occurred.

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    Tumors of Spinal Cord

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    This document discusses spinal cord and root compression. It can be caused by expanding disease processes in the spinal cord cavity. Manifestations depend on the site and level of compression, and can include root or cord damage, causing lower motor neuron or upper motor neuron signs. Tumors are a common cause of compression and can be extradural, intradural extramedullary, or intramedullary. Pain, motor disturbances, sensory changes, and sphincter disturbances are common symptoms. Diagnosis involves imaging like MRI, CT, or myelography. Treatment options include surgical decompression, radiation, chemotherapy, or management of symptoms. Prognosis depends on the specific condition and how much damage has already occurred.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    227 views17 pages

    Tumors of Spinal Cord

    Uploaded by

    Karam Saad
    This document discusses spinal cord and root compression. It can be caused by expanding disease processes in the spinal cord cavity. Manifestations depend on the site and level of compression, and can include root or cord damage, causing lower motor neuron or upper motor neuron signs. Tumors are a common cause of compression and can be extradural, intradural extramedullary, or intramedullary. Pain, motor disturbances, sensory changes, and sphincter disturbances are common symptoms. Diagnosis involves imaging like MRI, CT, or myelography. Treatment options include surgical decompression, radiation, chemotherapy, or management of symptoms. Prognosis depends on the specific condition and how much damage has already occurred.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 17

    As the spinal cord is a rigidly enclosed cavity an expanding disease process will eventually

    cause cord or root compression.


    Manifestations of cord and root compression depend upon the following
    Site root LMN
    segmental UMN
    Level above L1 vertebral body may damage both roots and cord bellow compress only roots.
    Vascular involvement.
    Speed of onset
    1-15% of primary CNS tumors are intra-spinal.
    2-Most of tumors are benign.
    3-most present by compression rather than invasion
    4-male\femal =5\4
    5-75% is benign
    6-1% of all tumors body
    7-location: thoracic 48% lumbar 26% cervical 19%
    8- multiple in 1%
    May be classified in three groups:

    NB: metastasis may be found in each category but they


    are usaully ED
    1-extradural:
    a-metastasis:
    b-primary spinal tumors:
    Chordoma, osteoma, neurofibroma…
    c-miscellaneous: plasmocytoma,multiple myeloma
    granuloma….
    2-intradural extramedullary spinal cord tumors:
    a-meningioma,neurofibromas,lipomas,mesicellaneous.
    3-intramedullary spinal cord tumors: astrocytoma,ependymoma
    miscellaneous…
    Depend upon:
    Root
    sever , sharp, shooting, burning pain radiating the cutaneous distribution or
    muscle group supplied by the root . aggravated by movement , straining , or
    coughing.
    Segmental :
    continuous, deep aching pain radiating into whole leg or one half of body not
    affected by movement.
    Bone :
    contiuous , dull , and tenderness over the affected area may or may not be
    aggravated by movement.
    Lateral compressive lesion:
    Root\segmental damagies or in area supplied by root but ovelape from adjucent
    roots may prevent detection
    weakness in group supplied by the involved root and segment with lower motor
    neuron signs . wasting loss of tone fasciculation diminished or abscent reflexes.
    NB: motor dificit is seldom detected in roots above C5 and from T2-L1
    Sensory deficit of all modalities or hyperesthesia supplied by root but ovelape
    from adjucent roots may prevent detection.
    1-pain: the most common complaint. NB:onset usaully insidious but
    a- radicular: abruptness occurs.
    b-local : stiff neck or back . Valsalva maneuver increased. NB: nocturnal pain suggests SCT
    c-medullary as in syrinx :oppressive , burning , dysesthtic , non-radicular.
    2-motor disturbances:
    a-weakness
    b-gait disturbances
    c- syringo -meylic syndrome: suggests IMSCT. UE segmental weakness, decreased DTR, dissociative
    anesthesia.
    Long-tract involvement clumsiness and ataxia(distinct from weakness)
    d-atrophy , muscle twitches , fasciculations.
    3-non-painful sensory disturbances:
    a-dissociated sensory loss: decreased pain and temperature , preserved light touch (Brrwon-Sequard
    synd.).
    b- paresthesia radicular or medullary distribution.
    4-sphincter disturbances:
    5-miscellaneous symptoms:
    a-scoliosis SAH visible mass over spine.
    Temporal progression has been divided into
    4 stages:
    1-pain only.
    2-Brown-Sequard synd.
    3-incomplete trans sectional dysfunction.
    4-complete trans sectional dysfunction.
    1-x-ray.
    MRI and CT:
    3-myelography.
    4-spinal ang.
    5-lumbar puncture.
    1-surgical
    Decompressive laminectomy.
    Radiotherapy and chemotherapy.
    Prognosis:
    1-neurofibroma:
    a-Neurofibrosarcoma b-neurofibromatosis c-schwanomas
    2-glumus tumor:
    3-neuroma:
    1-ganglioneuroma:
    2-Neuroblastoma:
    3-Pheochromcytoma:
    4-Carotid bodytumor:
    5-Glomus jugular tumor:

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