Thoracic spinal neoplasms. Medical search. Frequent questions

Neoplastic disease that involves the spine and results in spinal cord or cauda equina compression may have devastating neurologic and functional consequences. (medscape.com)
Metastatic lesions are responsible for about 85% of neoplastic spinal cord compression cases, with the other 15% due to primary neoplastic lesions of the spine. (medscape.com)
Most frequently, metastatic seeding involves the thoracic spine (accounting for about 70% of cases), with the lumbar spine being the next most involved site (20% of cases). (medscape.com)
Lung and breast cancers are more likely to affect the thoracic spine. (medscape.com)
Neoplastic disease that involves the spine with spinal cord compression may be devastating. (medscape.com)
Consequent signs and symptoms may be referable to the spine or spinal cord. (medscape.com)
As the director of Spine Surgery for the Department of Neurosurgery at the University of Maryland, I see a large volume of patients with spinal deformity, degenerative disease, spinal oncology and spine trauma. (umaryland.edu)
Sansur CA , Pouratian N, Dumont AS, Schiff D, Shaffrey CI, Shaffrey ME.Spinal Cord Neoplasms, Part II: Primary tumors of the bony spine and adjacent soft tissues. (umaryland.edu)
A spinal tumor is an abnormal mass of tissue either inside the spine or outside . (sciatica.clinic)
Note that the spinal cord level doesn't line up precisely with the corresponding vertebrae, especially caudal to the thoracic spine. (emcrit.org)
Lhermitte's sign (an electric-shock sensation elicited by neck flexion that runs down the spine and sometimes into the limbs) suggests involvement of the posterior columns of the cervical spinal cord. (emcrit.org)
Three months later, a cervical MRI showed progression of the tumor, along with new lesions in the thoracic/lumbar spine plus intracranial punctate nodular tumors. (surgicalneurologyint.com)
Isolated extradural Rosai-Dorfman disease of the thoracic spine: A rare cause of spinal cord compression: Case report. (jbstjournal.com)
3 Symptomatic lesions are most often diagnosed in the thoracic region, presenting with incomplete paraplegia, though cadaveric studies have shown the most common site of tumor burden is in the lumbar spine. (mhmedical.com)
Minimally invasive surgery has continued to grow as an alternative approach to traditional open methods of treating cervical and thoracic spine pathologies, with similar efficacy, shorter hospitalizations and decreased tissue destruction. (jmisst.org)
This manuscript presents a review of the literature and summarizes complications seen in cervical and thoracic spine surgery, focusing on different types of minimally invasive procedures. (jmisst.org)
Despite the known complications of open surgery involving the cervical and thoracic spine, complications associated with minimally invasive surgery (MIS) techniques remain unanswered. (jmisst.org)
The present review seeks to identify potential complications associated with cervical and thoracic spine surgery using the tubular, endoscopic tubular assisted, uniportal endoscopic, and biportal endoscopic surgical approaches. (jmisst.org)
Additionally, a search of the phrase "minimally-invasive cervical and thoracic spine surgery complications" was performed. (jmisst.org)
The titles and abstracts of the identified articles were then systematically assessed for any mention of minimally invasive tubular, endoscopic tubular-assisted, uniportal endoscopic, or biportal endoscopic surgery to the cervical or thoracic spine. (jmisst.org)
The influence of both posture and exertion, on the pain, should be elicited in the patient's history, and the movements of the thoracic spine should then be tested. (works.org)
Mobilization/manipulation technique The simplest and most effective method of treating thoracic disc problems is by a mobilization/manipulation of the thoracic spine. (works.org)
Although slouching may be harmful for any areas of the spine, it is disastrous for the thoracic region. (works.org)
The wedge: aid to mobilization A common problem of the treatment, mobilization/manipulation of the thoracic spine, occurs when a 5'4" female physiotherapist attempts to mobilize the thoracic spine of a 6'2", 200 pound patient. (works.org)
By the time the physiotherapist has placed her hand around the chest wall of the patient, to fixate the thoracic spine being treated, she frequently has no power and little leverage left with which to mobilize the offending joint. (works.org)
A small wedge has therefore been developed by Norwegian physiotherapist Freddy Kaltenborn as an aid to the painless mobilization of the thoracic spine. (works.org)
It enables a physiotherapist to mobilize successfully, and with little physical effort, the thoracic spine of large, heavy patients. (works.org)
By altering the position of the wedge or by altering the degree of flexion of the thoracic spine, the physiotherapist can mobilize or manipulate all thoracic joints in this manner. (works.org)
Posterior spinal instrumentation via pedicle screw-rod fixation is the standard of care for various spine diseases of degenerative, traumatic, infectious, and neoplastic origin. (ijssurgery.com)

Additionally, cancers that metastasize to the vertebrae or surrounding tissues frequently cause spinal cord compression. (medscape.com)
She rolls him toward herself and firmly fixes the thoracic vertebrae to be mobilized within the groove of the wedge. (works.org)

For the emergency physician, however, the cell origin of the tumor is less of a concern than the consequent syndromes of spinal cord dysfunction. (medscape.com)
The severity of spinal cord compromise secondary to a tumor spans a wide range. (medscape.com)
Scholars@Duke publication: The role of concurrent fusion to prevent spinal deformity after intramedullary spinal cord tumor excision in children. (duke.edu)
Of these, 52 patients with a biopsy-proven intramedullary spinal cord tumor had complete clinical records and radiographic data. (duke.edu)
CONCLUSIONS: In the surgical treatment of patients with intramedullary spinal cord tumors, those that undergo instrumentation or in situ fusion at the time of spinal cord tumor excision are significantly less likely to develop postresection spinal deformity. (duke.edu)
It is not uncommon for spinal tumors to develop out of a tumor from the individual's breast, lung, kidney, prostate, or another area of the body that has spread out . (sciatica.clinic)
This can be an indicator of a spinal tumor. (sciatica.clinic)
The most common symptom of a spinal tumor is pain. (sciatica.clinic)
Atypical teratoid/rhabdoid tumor (AT/RT) is an aggressive neoplasm of the central nervous system that generally arises intracranially in patients under 2 years of age. (surgicalneurologyint.com)
Atypical teratoid/rhabdoid tumor (AT/RT) is an aggressive neoplasm that constitutes approximately 6% of pediatric central nervous system (CNS) tumors. (surgicalneurologyint.com)
She underwent disease reevaluation 4 weeks after the completion of radiation, which showed improvement in the spinal tumor and no new metastatic lesions. (surgicalneurologyint.com)
Some factors such as individual treatment strategy, according to the histology of the primary tumor, plan of treatment strategies carried out in a multidisciplinary manner, risk-benefit of radiotherapy, assessment of the degree of spinal instability, improvement in communication and referral between specialists in oncology showed an increase in the survival of these patients. (bvsalud.org)
A spinal tumor often presents with signs and symptoms of spinal cord compression. (aafp.org)
ACNU CED dramatically regressed enhanced mass lesions and provided local tumor controls in the spinal cord. (elsevierpure.com)
Neurogenic tumor is a common intrathoracic neoplasm, representing approximately 20% of all adult and 35% of all pediatric mediastinal neoplasms [ 1 ]. (springeropen.com)
The operation was initially performed as video-assisted thoracic surgery (VATS), but the surgical approach was converted to a thoracotomy because the tumor was tightly attached to the chest wall. (springeropen.com)
Abstract The aim of this study was to evaluate the impact of preopera-tive devascularization of spinal metastases in relation to the pre-embolization tumor vascularization degree and in relation to the intra-operative blood loss. (123dok.net)
Magnetic resonance imaging (MRI) revealed the tumor localized in the thoracic spinal cord. (unboundmedicine.com)

Metastatic lesions that involve the spinal cord affect about 5-10% of patients with cancer. (medscape.com)
Metastatic lesions are featured in this discussion since they cause 85% of the cases of neoplastic spinal cord compression. (medscape.com)
[ 3 ] Approximately 15% of all primary CNS lesions arise from the spinal cord, with an estimated incidence rate of 0.5-2.5 cases per 100,000 population. (medscape.com)
Extranodal Rosai-Dorfman disease with multiple spinal lesions: Arare presentation. (jbstjournal.com)
Spinal neoplastic lesions of metastatic origin severely aﬀect patient quality of life. (123dok.net)
Diagnosis is not difficult, however, if thoracic disc lesions are kept in mind. (works.org)

Metastatic spinal cord compression usually follows arterial hematogenous dissemination of malignant cells to the vertebral bodies, with subsequent expansion into the epidural space. (medscape.com)
A primary or metastatic malignant neoplasm affecting the bone or articular cartilage. (nih.gov)
Subsequent Malignant Neoplasm of Bone in Children and Adolescent-Possibility of Multimodal Treatment. (nih.gov)
Primary malignant bone neoplasm: a case report of dedifferentiated chondrosarcoma in the rib and review of the literature. (nih.gov)
Co-occurrence of malignant neoplasm and Hyperostosis Frontalis Interna in an Iron Age individual from Münsingen-Rain (Switzerland): A multi-diagnostic study. (nih.gov)
blood transfusion), spinal cord, lung cancer (oncology), respiratory cancer, radiology Background Multiple myeloma is a malignant proliferation of plasma cells mostly affecting the bone marrow and commonly presents with anaemia, hypercalcaemia, renal dysfunction, bone and skeletal involvement. (2011globalhealth.org)

The first step towards diagnosis and therapy is recognizing that the patient has some sort of spinal cord pathology. (emcrit.org)
Myelopathy is a clinical diagnosis with localization of the neurological findings to the spinal cord, rather than the brain or the peripheral nervous system, and then to a particular segment of the spinal cord. (bvsalud.org)
The diagnosis of thoracic disc problems is arrived at by a "Cyriax-type assessment" which involves examining for articular signs and for dural signs and symptoms. (works.org)

Ahmad FU, Schallert E, Bregy A, Post JD, Vanni S. Disappearing large calcified thoracic disc herniation in a patient with thalassaemia. (bu.edu)

Infrequently, tumors may induce cavitation within the spinal cord. (medscape.com)
Less frequently, tumors may induce cyst formation or cavitation within the spinal cord. (medscape.com)

OBJECTIVES: Spinal deformity is a common development after laminectomy and resection of pediatric intramedullary spinal cord tumors. (duke.edu)
Our objective is to compare the occurrence of postlaminectomy spinal deformity in children with intramedullary spinal cord tumors that underwent decompression with fusion at the time of surgery to those that did not undergo fusion. (duke.edu)
Preoperative spinal alignment, surgical treatment, postoperative deformity, and risk factors for deformity were evaluated. (duke.edu)

Principles of treating intramedullary cancer are similar to those for epidural spinal cord compression. (medscape.com)
Depending on the underlying malignancy, 2% to 5% of patients will develop clinical signs and symptoms of epidural spinal cord compression (ESCC) during the course of their disease. (mhmedical.com)

Most primary intramedullary spinal cord tumors are astrocytomas or ependymomas . (medscape.com)

Neoplastic disease can cause neurologic symptoms by compression of the thecal sac, spinal cord, or cauda equina, as well as compression of the attendant vascular supply, which results in cord edema and ischemia. (medscape.com)
Neoplastic diseases in the spinal column and spinal cord can have a dramatic impact on an individual as well as on their family members and friends. (mhmedical.com)

Open cervical spinal surgery in particular is associated with a variety of complications. (jmisst.org)
Open thoracic spinal surgery is also traditionally associated with a variety of complications. (jmisst.org)

Leptomeningeal metastasis presents as multifocal neurological deficits referable to the spinal cord. (medscape.com)

Spinal tumors are classically grouped into three categories: extradural tumors, intradural extramedullary tumors, and intradural intramedullary tumors ( Fig. 17-1 ). (mhmedical.com)
in contrast, spinal tumors secondary to metastatic disease tend to be extradural. (mhmedical.com)

Hyperactive reflexes in the legs with less active arm reflexes suggest thoracic myelopathy (although a cervical lesion is also possible). (emcrit.org)
Myelopathy can be the result of primary intrinsic disorders of the spinal cord or from secondary conditions, which result in extrinsic compression of the spinal cord. (bvsalud.org)

Anatomically, neoplasms of the spinal cord may be classified according to the compartment of origin, either intramedullary (inside the cord) or extramedullary (outside the cord). (medscape.com)

The neural tracts most vulnerable to mechanical pressure include the corticospinal and spinocerebellar tracts and the posterior spinal columns. (medscape.com)
Reduced blood flow to the spinal cord which is supplied by the anterior spinal artery and the paired posterior spinal arteries. (lookformedical.com)
Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots. (lookformedical.com)
Spinal cord ischemia, nerve root injury, dural tear, and hematoma formation are also possible with both the anterior and posterior approaches [ 7 ]. (jmisst.org)
Based on studies in birds, the telencephalic leptomeninges arise from the neural crest (neuroectoderm) and the leptomeninges of the posterior brain and the spinal cord arises from the mesoderm. (medscape.com)

Laminectomy and chest wall resection are associated with spinal mala- lignment, and enucleation is associated with orbital deformities among survivors. (umn.edu)

Presence of air or gas within the intracranial cavity (e.g., epidural space, subdural space, intracerebral, etc.) which may result from traumatic injuries, fistulous tract formation, erosions of the skull from NEOPLASMS or infection, NEUROSURGICAL PROCEDURES, and other conditions. (wakehealth.edu)
Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g. (lookformedical.com)
Conclusion: Spinal cord injuries are "time-dependent" medical and surgical emergencies. (bvsalud.org)

Primary spinal cord tumors arise from the different elements of the central nervous system (CNS), including neurons, supporting glial cells, and meninges. (medscape.com)
Primary spinal cord tumors arise from the different elements of the CNS, including neurons, supporting glial cells, and meninges. (medscape.com)
Most primary spinal cord cancers do not disseminate widely through the CNS or body. (medscape.com)
Primary spinal AT/RT in an adult is rare. (surgicalneurologyint.com)
Primary spinal AT/RT in the adult patient is rare. (surgicalneurologyint.com)
5 9 ] Primary spinal AT/RT, especially within an adult patient, is rare. (surgicalneurologyint.com)
Embolization has been used as a presurgical maneuver in the treatment of a variety of primary and secondary spinal tumors (6-22) . (ajnr.org)
It is the most common primary intracranial neoplasm and the most diversified in histologic patterns among all primary tumors of the CNS. (medscape.com)
Other primary peripheral nerve neoplasms rarely are seen in cats. (vin.com)

This neoplasm may present with renal signs and symptoms, such as hypertension, hematuria and abdominal pain. (aafp.org)
Surgical repair of spinal metastases from renal origin is often complicated by excessive bleeding. (ajnr.org)
Twenty spinal metastases from renal origin (17 patients) treated by preoperative embolization with polyvinyl alcohol particles were analyzed retrospectively. (ajnr.org)
A control group of 10 patients with 11 spinal metastases of renal origin underwent surgery without embolization. (ajnr.org)
Preoperative embolization of spinal metastases of renal origin with polyvinyl alcohol particles is safe and might reduce intraoperative blood loss significantly. (ajnr.org)
There is, however, limited data about the effect of preoperative embolization on intraoperative blood loss in spinal metastases of renal origin (6, 7, 15) . (ajnr.org)
The control group consisted of 10 consecutive patients with 11 spinal metastases of renal carcinoma, which were treated surgically without preoperative embolization between April 1994 and April 1997. (ajnr.org)

A surgical procedure that entails removing all ( laminectomy ) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. (lookformedical.com)
Dermatomes are specific areas of the skin that are innervated by a single spinal nerve. (proprofs.com)
Brachial plexus avulsion produced by severe thoracic limb abduction with secondary stretching or tearing of nerve roots is a commonly occurring peripheral nerve injury of cats. (vin.com)

Metastatic spinal cord compression is due to invading lesion(s) in the epidural space, between the vertebral bones and the dura of the thecal sac, compressing the thecal sac, spinal cord, or cauda equina. (medscape.com)
reveals that TOS is caused by compression of the outlet or tunnel where the blood vessels and nerves pass from the neck or the thorax to the arm leading to thoracic outlet syndrome signs and symptoms. (thoracicoutletsyndrome.com)
If you and your doctor know the thoracic outlet syndrome cause of the compression and know how to reverse it, you can end your suffering. (thoracicoutletsyndrome.com)
After looking at these illustrations, I guarantee you are going to better understand the thoracic outlet syndrome compression sites of simple neurogenic thoracic outlet syndrome, venous thoracic outlet syndrome, arterial thoracic outlet syndrome and the other conditions associated with this area of the body. (thoracicoutletsyndrome.com)
The study was carried out to exhaust the scientific literature regarding surgery associated with radiotherapy in patients suffering from metastatic spinal cord compression and to assist in the decision of oncology physicians and professionals in choosing the best treatment for the patient. (bvsalud.org)
In addition, he had weakness and numbness of lower limbs suggestive of spinal cord compression. (2011globalhealth.org)

Anterior surgical decompression and stabilization are the treatments of choice for radiation-resistant metastatic spinal tumors, resulting in improved neurologic function and pain reduction in more than 80% of patients (4, 5) . (ajnr.org)

The Chapter summaries of the #1 International Bestselling Book, The Human Spring Approach to Thoracic Outlet Syndrome by Dr James Stoxen DC. (thoracicoutletsyndrome.com)
Chapter 1, "What Is Thoracic Outlet Syndrome? (thoracicoutletsyndrome.com)
Understanding this concept prevents neurogenic thoracic outlet syndrome surgery, scalenectomy and in just about every patient with TOS. (thoracicoutletsyndrome.com)
Thoracic outlet syndrome has been called many names, as mentioned previously, including office syndrome, cell phone shoulder, and cell, mobile or smartphone syndrome. (thoracicoutletsyndrome.com)
In this chapter, I discuss exactly what thoracic outlet syndrome is and provide an extensive review of the thoracic outlet syndrome anatomy. (thoracicoutletsyndrome.com)
Most importantly you will learn the muscles involved in thoracic outlet syndrome, the TOS muscles, and how you can treat them yourself. (thoracicoutletsyndrome.com)

This condition is usually caused by a lesion in the upper BRAIN STEM which injures the descending cortico-spinal and cortico-bulbar tracts. (lookformedical.com)
Multiple Sclerosis (MS) is a CNS disorder that is characterized by both inflammatory and neurodegenerative mechanisms of brain and spinal cord injury. (medscape.com)

Twenty-four patients underwent preoperative transarterial embolization of hyper-vascular spinal metastases. (123dok.net)
This retrospective study included 18 consecutive patients with 21 symptomatic spinal metastases who underwent preoperative spinal angiography and embolization at our institution between October 1995 and August 1999. (ajnr.org)

METHODS: A retrospective chart review of 255 children with spinal cord tumors treated at 2 tertiary pediatric cancer centers between was performed. (duke.edu)

Additionally, neoplasms may compromise the vascular supply, causing edema or ischemia. (medscape.com)
Prolonged ischemia may lead to INFARCTION of spinal cord tissue. (lookformedical.com)

Evaluating for a sensory level using a pin to detect pain sensation is more sensitive to detect a spinal level originating from a lesion in the spinothalamic tract. (emcrit.org)
Motor weakness may be used to evaluate the level of a spinal lesion that involves the corticospinal tract. (emcrit.org)
Thus, a central spinal cord lesion may cause neurologic deficits in a descending order. (emcrit.org)
During the procedure, the infusion cannula was inserted into the spinal cord lesion under intraoperative computed tomography scan. (elsevierpure.com)

Therefore, a sensory level to light touch may be absent unless both of these are involved (e.g., a complete injury that involves all spinal cord tracts). (emcrit.org)
Spinal cord injury constitutes a multidisciplinary therapeutic emergency. (bvsalud.org)
Patients admitted to the emergency department of any age for spinal cord injury and having performed a radiological examination were included. (bvsalud.org)
Socio-demographic parameters, circumstances and times of onset of trauma, mode of transport, state of consciousness, sensory and motor deficit, American Spinal Injury Association (ASIA) Score, hemodynamic and respiratory status were assessed. (bvsalud.org)
From an anterior approach, injury to the great vessels is possible leading to hemorrhage as is damage to the thoracic duct leading to chylothorax [ 7 ]. (jmisst.org)

Anterior stabilization of three-column thoracolumbar spinal trauma. (umaryland.edu)

Typically, NP and BRP are most likely dermatologic signs of underlying degenerative, traumatic, or musculoskeletal cervical spinal disease. (lagunaskincenter.com)

BACKGROUND: Spinal cord high-grade glioma has poor prognosis. (elsevierpure.com)
METHODS: Two patients developed high-grade glioma in the thoracic spinal cord. (elsevierpure.com)
CONCLUSION: The authors report the first 2 cases of recurrent spinal cord high-grade glioma. (elsevierpure.com)

Multiple spinal levels are affected in about 30% of patients. (medscape.com)
In the orthopaedic department, most patients with spinal joint pain are suffering from a minor displacement of a fragment of disc. (works.org)
Three hundred patients having thoracic disc problems were treated in this manner during a recent 12-month period at the author's clinic. (works.org)
Conclusion The wedge has been used for over a year in the author's clinic and is recommended in the treatment of patients with thoracic disc problems. (works.org)

Thus, diseases affecting the anterior horn of the spinal cord cause flaccid paralysis. (emcrit.org)

The biopsy, however, demonstrated spinal AT/RT. (surgicalneurologyint.com)

The Human Spring Model not only explains how the body absorbs impacts, recycles energy and opens spaces for joints it also eloquently explains how the human spring engineering provides a safe passage for blood vessels and nerves through the thoracic outlet or thoracic tunnel. (thoracicoutletsyndrome.com)
Spinal nerves and corresponding sensory dermatomes are shown above. (emcrit.org)
Nerves to the cervical cord are located closest to the middle of the cord, whereas nerves to the sacrum are located farthest towards the edges of the spinal cord. (emcrit.org)
The given options represent different dermatomes, which are specific areas of the skin that are innervated by different spinal nerves. (proprofs.com)

Anatomy35

Organisms2

Diseases120

Chemicals and Drugs7

Analytical, Diagnostic and Therapeutic Techniques and Equipment26

Psychiatry and Psychology3

Phenomena and Processes13

Disciplines and Occupations1

Information Science1

Health Care3

Spine29

Vertebrae2

Tumor18

Lesions6

Malignant6

Diagnosis3

Calcified thoracic disc1

Cavitation within the spinal cord2

Deformity3

Epidural spinal cord compre2

Intramedullary spinal cord t1

Neoplastic2

Complications2

Neurological1

Extradural2

Myelopathy2

Extramedullary1

Posterior5

Resection1

Injuries3

Primary9

Renal7

Nerve3

Compression6

Metastatic spinal1

Syndrome6

Brain2

Metastases2

Pediatric1

Ischemia2

Lesion4

Injury5

Trauma1

Musculoskeletal1

Glioma3

Patients4

Diseases1

Biopsy1

Nerves4