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DI review 3
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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
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
pressing on NR
N+T
Intradural intramedullary tumor
Astrocytoma
Metastatic tumor
Lymphoma
Lung
Breast
Prostate
Intradural extramedullary tumor
Schwannoma
Meningioma
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
Primary posterior lateral tumor S/S
Disc first compresses sheath then dura mater
S/S 1st in arm then in neck/shoulder as progress
Secondary posterior lateral tumor S/S
1st disc compresses dura matter then dura sheath
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
2016-06-29T13:20:57Z
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