tailieunhanh - Differential Diagnosis in Neurology and Neurosurgery - part 7

Các khối u di căn là phổ biến hơn (66%) so với chính khối u cột sống (30%), 4% còn lại là các khối u prevertebral xâm nhập ống sống. Tần số các di căn xương là lớn hơn nhiều đối với một số khối u: 84% ung thư tuyến tiền liệt và% 74 khối u sarcoma lành nhiều bệnh ung thư vú u tủy | Thoracic Pain 197 Thoracic Pain Neurogenic Thoracic disk herniation Thoracic spinal tumor - Extradural Metastatic neoplasms 66 Primary spinal tumors 30 Intradural extramedullary Meningioma Nerve sheath tumors Spinal vascular malformations Spinal vascular tumors Metastatic tumors are more common 66 than primary spinal tumors 30 the remaining 4 are pre-vertebral tumors invading the spinal canal. The frequency of skeletal metastases is much higher for some tumors 84 for prostatic cancer and 74 of breast cancer Multiple myeloma Osteogenic sarcoma Chordoma Chondrosarcoma Ewing s sarcoma Benign tumors and tumor-like conditions . exostosis osteoid osteoma fibrous dysplasia aneurysmal bone cyst hemangioma etc. Represent approximately 25 of primary spinal tumors 90 of spinal meningiomas are purely intradural and the remaining 7-10 may be extradural. Among the spinal meningiomas 17 are in the cervical spine 75 -81 in the thoracic spine and 2-7 in the lumbar region . schwannoma neurofibroma neurinoma neurilemoma perineurofibroblastoma . dural or intradural arteriovenous malformations cavernous angioma capillary telangiectasia venous malformation . hemangioblastomas Epidermoid and dermoid cysts and teratomas Spinal lipoma Leptomeningeal metastases - Intramedullary spinal cord tumors Ependymoma Astrocytoma Intramedullary metastasis Tsementzis Differential Diagnosis in Neurology and Neurosurgery 2000 Thieme All rights reserved. Usage subject to terms and conditions of license. 198 Spinal Disorders Intramedullary lesions excluding spinal cord tumors - Multiple sclerosis - Amyotrophic lateral sclerosis - Transverse myelitis - Subacute combined degeneration - Radiation myelopathy - Syringomyelia - Remote effects of can- cer - Paraneoplastic necrotizing myelopathy Intercostal neuralgia Herpes zoster Postthoracotomy syndrome Musculoskeletal Muscular - Strain - Myofascial pain syndrome - Polymyalgia rheuma-tica Degenerative - Spondylosis - Spinal stenosis - Herniated .