SPINAL TUMORS

EXTRADURAL EPIDURA ANDSPINE

INTRADURAL EXTRAMEDULLARY

INTRADURAL INTRAMEDULLARY

TUMORS OF EXTRADURAL SPACE &SPINE

BENIGN A: NEUROFIBROMAB:MENINGIOMA

MALIGNANTA:METASTASISB:MALIGNANT TUMORS OF OSSEOUS ORIGINC:CHORDOMAD:PLASMA CELL TUMORSE:EOSINOPHILIC GRANULOMAS

INTRADURAL EXTRAMEDULLARY

TUMORS&TUMORS OF CAUDA EQUINA

1:Neurofibroma2:meningioma3:Paraganglionma of cauda equina4:Ependymoma of filum terminale5:Epidermoid,dermoid,teratoma, lipoma6:Granulomatous lesions(Tuberculoma,sarcoid etc

INTRAMEDULLARY TUMORS

1:Ependymoma2:Astrocytoma3:Hemangioblastoma4:Epedermoid,dermoid,teratoma,lipoma 5:Cavernoma6:Intramedullary abcesses,tuberculoma,sarcoidosis,parasitic cyst7:Metastasis from medulloblastoma and ependymoma of 4th ventricle

SYMPTOMATOLOGY OF TUMORS OF THE SPINE AND THE SPINAL

CORDPAIN a.FOCALb.REFERREDc.RADICULARd.LHERMITTE PHENOMENONMOTOR SYMPTOMSa.SINGLE ROOT INVOLVEMENTb.TRANSVERSE MYELOPATHYc.CENTRAL AND HEMICORD SYNDROMEAUTONOMICa.HORNERS SYNDROME,SPHINTOR DISTURBANCESYSTEMIC CHANGESHYPERTENSIVE EPISODES IN PARAGANGLIONOMA,POLYCYTHEMIA IN HEMANGIOBLASTOMA

RADIOLOGICAL DIAGNOISIS

1:Plain X-rays2:MRI3:CT SCAN4:Mylegraphy5:Spinal Angiography6:Bone scan

PRINCIPLES OF SURGERY

1:Counseling2:Preliminary investigations3:Stop all antiplatelet drugs I wk before operation4:General anaesthesia5:Operating Microscope6:Tumor excision devices(Ultrasonic aspirator CUSA,Bipolar diathermy7:Embolization8:Spinal stabilization procedures9:Intensive care and post operative physiotherapy