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CASE REPORT BY DR. MODAR MONTHER SPINAL CORD TUMORS.

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Presentation on theme: "CASE REPORT BY DR. MODAR MONTHER SPINAL CORD TUMORS."— Presentation transcript:

1 CASE REPORT BY DR. MODAR MONTHER SPINAL CORD TUMORS

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

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

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

5 Primary Skeletal Neoplasms Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital CELL OF ORIGINBENIGNMALIGNANT OsseousOsteoid Osteoma Osteoblastoma Osteosarcoma CartilaginousOsteochondroma Enchondroma Chondroblastoma Chondromyxoid-fibroma Chondrosarcoma FibrousFibromaFibrosarcoma Malignant fibrous histocytoma

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

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

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

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

10 Neurological Exam Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital 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

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

12 RASIOLOGY T2WI MRI: The same lesion, hyperintense on 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 Dr. Modar Monther; Neurosurgeon, Dr. Abanamy Hospital Microscopic excision of the tumor

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

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

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

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

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

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

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

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