-
Retrolysthesis
- Compression going straight back to SC
- If C7 vertebrae, compression is cephalic to C8 (C8 comes out below C7)
-
Cervical spondylolisthesis
- Cases excessive vertebral motion leading to SC compression
- Congenital, traumatic, or degenerative
- Typically C6/7C7
- May cause torticollis (warning sign of C2 fx)
-
Cervical SC compression S/S
+ babinski, hyperreflexic quad
-
cervical NR compression S/S
- babinski, normal quad, C/S reflex +/-
-
extradural dura tumor
- bone tumor
- outside dura mater
- secondary lesion in adult
-
primary SC tumor
- extradural tumor
- original site
- can invade bone
- child/adult
-
intradural extramedullary S/S
-
Intradural intramedullary tumor
Astrocytoma
-
Metastatic tumor
- Lymphoma
- Lung
- Breast
- Prostate
-
Intradural extramedullary tumor
-
Primary SC tumor ex
Myeloma
-
Warning signs of cervical intradural extramedullary tumor
- 1. primary posterior lateral onset
- ----disc or tumor but tumor pain is progressive and can become bilat
- 2. 2-3 NRs affected, SC affected later on
- 3. cough/ Lhermitte’s sign causing pain in arm
- 4. no articular signs
- ---- only get signs of tumor invades foramen
-
possible dx when see double root palsy
- 1. two disc lesions (not common)
- 2. arthritic neck with osteophytes
- 3. tumor
-
Tumors are best seen on what type of imaging
MRI
|
|
