Spinal Cord Compression Flashcards
1
Q
What are common pathologies?
A
- tumour
- degenerative eg degenerative cervical canal stenosis
- infection
- haematoma
2
Q
What are the two presenting symptoms?
A
- pain
- neurological symptoms
3
Q
An older patient with neck pain, slow symptom onset, lower motor signs in UL, UMN in lower limbs, no fever/Hx cancer. What is likely?
A
degenerative cervical canal stenosis
4
Q
How do you treat degenerative cervical canal stenosis?
A
- conservative
- laminectomy (posterior approach)
- vertebrectomy (anterior approach)
5
Q
What are intra-dural, extra medullary lesions?
A
- schwannoma
- epidermoid cyst
6
Q
What causes compression?
A
- extradural (80%)
- intradural and extramedullary (15%)
- intramedullary (5%)
7
Q
What are the most common causes?
A
- extra dural compression by mets, abscess, degenerative spinal disease
- intradural by meningioma
- intramedullary such as glioma
8
Q
What is common in a young pt intradural, extramedullary?
A
- schwannoma
- dermoid cyst
