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SP CD Neoplasms

Spinal cord neoplasms can be primary tumors within the spinal cord or metastatic tumors that spread to the spinal cord from other areas. They most commonly affect the corticospinal, spinocerebellar, and posterior spinal column tracts in the spinal cord. Symptoms vary depending on the location of the tumor but may include local back pain, stiffness, weakness, or sensory changes that worsen over time and can lead to paralysis or bladder/bowel dysfunction if not treated. Diagnosis involves MRI imaging of the spine and treatment options include steroids, radiation, chemotherapy, or surgery depending on the type and stage of tumor.

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26 views

SP CD Neoplasms

Spinal cord neoplasms can be primary tumors within the spinal cord or metastatic tumors that spread to the spinal cord from other areas. They most commonly affect the corticospinal, spinocerebellar, and posterior spinal column tracts in the spinal cord. Symptoms vary depending on the location of the tumor but may include local back pain, stiffness, weakness, or sensory changes that worsen over time and can lead to paralysis or bladder/bowel dysfunction if not treated. Diagnosis involves MRI imaging of the spine and treatment options include steroids, radiation, chemotherapy, or surgery depending on the type and stage of tumor.

Uploaded by

gael
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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SPINAL CORD NEOPLASMS

• Primary: Intramedullary
: Extramedullary
• Secondary/Metastatic –most common
• Incidental Finding: Hemangiomas
• Most vulnerable tracts
: Corticospinal
: Spinocerebellar
: Posterior Spinal Columns
SPINAL CORD NEOPLASMS
• 5-10% cancer patients
• 15% all primary CNS lesions
• Incidence rate: 0.5-2.5 cases per 100,000
population
• Male > Female
• 30-50 y.o. -1
• >50 yrs. -2
SPINAL CORD NEOPLASMS
Early Late
• Local pain • Limb paresthesias
• Local stiffness • Limb weakness
• Gradually worsening back pain* • Paraplegia
• Bowel disturbancess
• Bladder Disturbances

• Spasticity • Clear sensory loss


• Hyperreflexia (DTR: hypoactive or • Hyperreflexia
absent)
• Bilateral Babinski signs
• Loss of sensation : pinprick, temp
• Decreased anal sphincter tone
: position,
vibration
• Percussion tenderness
SPINAL CORD NEOPLASMS
• Amyotropic Lateral Scoliosis
• Mechanical Back Pain
• Brown-Sequard Syndrome
• Cauda Equina Syndrome
• Epidural & Subdural Infections
• Lumbar Disk Disorders
• Brain Neoplasms
• Spinal Cord Infections
• Spinal Cord Injuries
SPINAL CORD NEOPLASMS
• Labs not generally helpful
• MRI!
• Plain Radiography – false (-): 20%
• Nuclear Medicine
• CSF analysis (Lumbar Puncture) - contraix
SPINAL CORD NEOPLASMS
• Prehospital: spinal immobilization, ABC support
• ER: steroids, chemo?
• After imaging & consultation: Radiation Rx
• Surgery
SPINAL CORD NEOPLASMS
• Paraplegia
• Quadriplegia
• UTI
• Soft Tissue Damage
• Respiratory Complications

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