DI review 3

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

321534

Card Set

DI review 3

Description

DI review 3

Updated

2016-06-29T13:20:57Z

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