Early Diagnosis in Neuro-oncology by Aldo Fortuna

By Aldo Fortuna

It is usual wisdom scientific analysis relies on a mixture of indicators and indicators, saw of their evolution. Advancing the prognosis at an early level and especially within the neurosurgical scientific exam may increase the slightest danger of restoration, theoretically nearly reworking it right into a concrete threat. This ebook has an actual target: to check the "germ" of diagnostic suspicion, that is the real salt of clinical artwork for each health care provider, surgeon and expert alike. occasionally additionally the features of the overdue medical photograph are provided: at the present time, even though, this needs to be regarded as a scientific failure.

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Cartilaginous Tumors Osteochondroma. Although a rather frequent bone tumor (8%-9% of all bone tumors), osteochondromas are rare at the spinal level (1 %-4%). They are benign and generally solitary but multiple in 10% of cases. Macroscopically the tumor consists of a small exostotic mass arising from spinous apophyses or from transverse processes. Chondrosarcoma. Chondrosarcomas are malignant tumors which form in chondroid tissue both as a degeneration of a benign cartilaginous tumor (secondary chondrosarcoma) in 15% of cases, and as a primary malignant one in 85%.

Cono-filum Tumors Given that the spinal canal is very wide at the lumbosacral level, that the lumbar enlargement corresponds to DlO-Dll-D12-Ll, and that under Ll there are lumbar, sacral, and coccygeal roots (cauda equina), a small D12-Ll tumor can affect a number of neuromeres and even more roots. Moreover, a caudal tumor can reach a remarkable size before clinical manifestations arise. If the compression is at the epiconus or caudal level, the impairment will be different, spastic paraparesis and sensory deficiency with a level, and flaccid paresis with sensory radicular deficiency respectively.

V. contrast enhancement. b) Same cases. Coronal T,-weighted image Early Diagnosis of Spinal Tumors 47 Pathological Anatomy Spinal tumors can be divided into intradural and extradural, intradural into intra- and extramedullary. Intradural Extramedullary Tumors In most cases intradural extramedullary tumors consist of meningiomas, neurinomas, and neurofibromas. Dysembryogenetic tumors (dermoid, epidermoid and neurenteric cysts), or malignant neoplasias (metastasis of hematic and CSF origin) are rare.

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