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Y4R4 - Surgery II 👨‍⚕️ > L6: Spinal Tumors > Flashcards

L6: Spinal Tumors Flashcards

1
Q

Spinal tumors are one of the challenging issues in neurosurgery why?

  • As they are present in a potentially narrow space containing neural tissue.

So they are mostly presented by neural deficits “Necessitating rapid, meticulous intervention to prevent further complications to the patient”

A

…

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2
Q

Incidence of Spinal Tumors in Relation to Brain Tumors

A
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3
Q

Prognosis of Spinal Tumors

A
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4
Q

Classification of Spinal Tumors

A
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5
Q

Classification of Spinal Tumors

  • Extradural
A
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6
Q

Classification of Spinal Tumors

  • Extra-Medullary
A
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7
Q

Classification of Spinal Tumors

  • Intra-Medullary
A
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8
Q

Most Common Intramedullary Spinal Tumor

A

Astrocytoma

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9
Q

Radiculopathy VS Myelopathy

A
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10
Q

Examples of Extradural Spinal Tumors

A
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11
Q

Origin of Chordoma

A

Remnant notochord

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12
Q

Behaviour of Chordoma

A
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13
Q

Site of Chordoma

A

Usually from clivus or sacrum

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14
Q

TTT of Chordoma

A
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15
Q

Description of Aneurysmal Bone Cyst

A
  • Expansile tumor with osteolytic activity.
  • Consisting of highly vascular Honey comb blood filled cavities surrounded by thin cortical shape.
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16
Q

Behaviour of Aneurysmal Bone Cyst

A

Peak in the 2’d decade of life.

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17
Q

Location of Aneurysmal Bone Cyst

A

Tend to involve the posterior element.

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18
Q

TTT of Aneurysmal Bone Cyst

A

Total excision of the lesion.

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19
Q

Examples of Extramedullary Intradural Spinal Tumors

A
  • Meningioma
  • Shcwanomma
  • Neurofibroma & neurofibromatosis
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20
Q

Source of Spinal Meningioma

A

Arachinoid Cells

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21
Q

Behaviour of Spinal Meningioma

A

Slow growing benign masses

22
Q

Incidence of Spinal Meningioma

A
  • Peak age: From 40-70 years.
  • Sex: Female to Male ratio (4:1)
23
Q

Location of Spinal Meningioma

A
  • Mostly intradural - 5% extradural - 5% mixed
  • Level: Thoracic (82%) Commenest = Cervical (15%) “ Lumbar (2%)
24
Q

Origin of Spinal Schwanomma

A

Schwann cells of the sensory rootlets “The tumor only contains Schwann cells”

25
Q

Behaviour of Spinal Schwanomma

A

Benign

26
Q

Incidence of Spinal Schwanomma

A
27
Q

Site of Spinal Schwanomma

A
28
Q

CP of Spinal Schwanomma

A
29
Q

TTT of Spinal Schwanomma

A
30
Q

Spinal Neurofibroma & neurofibromatosis is associated with ……

A

Commonly seen in

  • Neurofibromatosis type 1 (NF-1) also called von Recklinghausen syndrome
31
Q

Origin of Spinal Neurofibroma & neurofibromatosis

A

Fusiform expansion of the nerve (Schwann - perineural and neural cells)

32
Q

Behavior of Spinal Neurofibroma & neurofibromatosis

A

Benign

33
Q

Location of Spinal Neurofibroma & neurofibromatosis

A
  • May be intradural, extradural or dumbbell
  • Level: Occur more frequently in the cervicalspine in NF-1
34
Q

TTT of Spinal Neurofibroma & neurofibromatosis

A

Difficult to get complete resection, why?
- Because of the extraforamenal extension and risk of functional loss

35
Q

Number of Spinal Neurofibroma & neurofibromatosis

A

Often multiple

36
Q

Forms of Spinal Neurofibroma & neurofibromatosis

A

Sometimes plexiform

37
Q

Spinal Lipoma is associated with …..

A

Typically associated with spinal dysraphism.

38
Q

CP of Spinal Lipoma

A
  • Present like any space occupying lesion with progressive myelopathy
  • Onset of symptoms often associated with weight gain,
39
Q

TTT of Spinal Lipoma

A
  • Surgical with(debulking of the tumor & duraplasty.
  • A Must take care not to injure normal spinal cord.
40
Q

Intramedullary Spinal Tumors

A
  • Ependymoma
  • Astrocytoma
41
Q

Origin of Spinal Ependymoma

A
  • Ependymal lining of the central canal.
  • Filum terminale “usually myxopapillary type”.
42
Q

Behaviour of Spinal Ependymoma

A

Very rarely malignant

43
Q

Incidence of Spinal Ependymoma

A

Age: Seen in adults (15 to 40 years).

Sex: Male = Female

44
Q

CP of Spinal Ependymoma

A
45
Q

TTT of Spinal Ependymoma

A
46
Q

Origin of Spinal Astrocytoma

A

Astrocyte (Supportive cells)

47
Q

Incidence of Spinal Astrocytoma

A

Age: Any age (average 35 to 40 years).

48
Q

Location of Spinal Astrocytoma

A

Equally throughout the spinal cord.

49
Q

CP of Spinal Astrocytoma

A
  • Presenting sign depend upon location.
  • Most are grade lor Il
  • Accompanying syrinx in 40%
50
Q

TTT of Spinal Astrocytoma

A

Y4R4 - Surgery II 👨‍⚕️ (21 decks)

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