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SPINAL CORD TUMORS

SPINAL CORD TUMORS. CASE REPORT by Dr. Modar Monther. SPINE AND SPINAL CORD TUMORS. 15% of primary CNS tumors. Most primary CNS spinal tumors are benign. Most present by compression rather than invasion. CLASSIFICATION. Extradural (ED) 55% Intradural extramedullary (ID-EM) 40%

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SPINAL CORD TUMORS

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  1. SPINAL CORD TUMORS CASE REPORT by Dr. Modar Monther

  2. SPINE AND SPINAL CORD TUMORS 15% of primary CNS tumors. Most primary CNS spinal tumors are benign. Most present by compression rather than invasion. Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  3. CLASSIFICATION Extradural (ED) 55% Intradural extramedullary (ID-EM) 40% Intramedullary spinal cord tumors (IMSCT) 5% Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  4. Extradural Spinal Tumors • Metastatic • Majority of ED tumors • Lymphoma • Lung • Breast • Prostate • Most osteolytic, some osteoblastic. • Primary Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  5. Primary Skeletal Neoplasms Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  6. Primary Skeletal Neoplasms • Marrow • Ewing’s sarcoma • Multiple myeloma • Lymphoma • Metastasis • others • Giant cell tumor • Hemangioma • Related lesions • Eosinophilic-Granuloma • Aneurysmal-Bone cyst Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  7. Intradural Extramedullary Meningioma lymphoma Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  8. Intramedullary Spinal Cord Tumors Astrocytoma 30% Ependymoma 30% miscellaneous Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  9. CASE REPORT MRN : 234473 19 year-old male Complaint of pain and parasthesia of the right thigh No urinary incontinence Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  10. Neurological Exam Parasthesia of the right thigh down to the antero-lateral aspect of the right leg Weak tendon reflex of the right knee Other tendon reflexes normal Motor power and tone normal Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  11. RADIOLOGY TIWI MRI: low intensity well defined mass Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  12. RASIOLOGY T2WI MRI: The same lesion , hyperintenseon T2WI with encroachment of the spinal cord at the T12 level Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  13. RADIOLOGY TIWI MRI with gadolinium: The lesion shows inhancement Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  14. RADIOLOGY The hyperintense lesion showing significant encroachment on the spinal cord Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  15. MANAGEMENT Microscopic excision of the tumor Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  16. SURGERY DURA OPENED AND RETRACTED SPINOUS PROCESSES OF T11, L1 AFTER T12 LAMINECTOMY TUMOR Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  17. SURGERY Spinal cord compressed anterior to the tumor Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  18. SURGERY SPINAL CORD AFTER RESECTION OF THE TUMOR Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  19. SURGERY Water-tight dural closure Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  20. PATHOLOGY Benign Schwannoma Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  21. POST - OP The patient was discharged from hospital after 5 days without any neurological deficit Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

  22. Thanks • Dr. Maan Kurdi • Anesthesia Department/OT staff • OPD department • Surgery department • LAB department Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital

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