DI review 3

  1. Cervical myelopathy presentation
    • Insidious onset
    • >55
    • central or bilat neck pain
    • + Hoffman, Lhermitte’s
    • paraesthesia caudal to LOL
    • diminished sensation and strength
    • spastic B/B
  2. extradural dura tumor
    • bone tumor
    • outside dura mater
    • secondary lesion in adult
  3. primary SC tumor
    • extradural tumor
    • original site
    • can invade bone
    • child/adult
  4. intradural extramedullary S/S
    • pressing on NR
    • N+T
  5. Intradural intramedullary tumor
    Astrocytoma
  6. Metastatic tumor
    • Lymphoma
    • Lung
    • Breast
    • Prostate
  7. Intradural extramedullary tumor
    • Schwannoma
    • Meningioma
  8. Primary SC tumor ex
    Myeloma
  9. 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
  10. possible dx when see double root palsy
    • 1. two disc lesions (not common)
    • 2. arthritic neck with osteophytes
    • 3. tumor
  11. Tumors are best seen on what type of imaging
    MRI
  12. Primary posterior lateral tumor S/S
    • Disc first compresses sheath then dura mater
    • S/S 1st in arm then in neck/shoulder as progress
  13. Secondary posterior lateral tumor S/S
    1st disc compresses dura matter then dura sheath
  14. S/S disc lesion
    • 1. Root pain stabilizes after 2 mo
    • 2. coughing hurt in scap
    • 3. Unilat symptoms
    • 4. non-capsular
    • 5. slight weakness if any (bc only compresses 1 NR)
Author
jld15
ID
321534
Card Set
DI review 3
Description
DI review 3
Updated