Intramedullary Spinal Cord Tumors: Part I—Epidemiology, Pathophysiology, and Diagnosis

Global Spine Journal - Tập 5 Số 5 - Trang 425-435 - 2015
Dino Samartzis1,2, Chris Gillis3, Patrick Shih4, John E. O’Toole3, Richard G. Fessler3
1Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
2The Laboratory and Clinical Research Institute for Pain, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China
3Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, United States
4The Neurological Brain and Spine Center, Houston, Texas, United States

Tóm tắt

Study DesignBroad narrative review.ObjectivesIntramedullary spinal cord tumors (IMSCT) are rare neoplasms that can potentially lead to severe neurologic deterioration, decreased function, poor quality of life, or death. As such, a better understanding of these lesions is needed. The following article, part one of a two-part series, addresses IMSCT with regards to their epidemiology, histology, pathophysiology, imaging characteristics, and clinical manifestations.MethodsThe authors performed an extensive review of the peer-reviewed literature addressing the aforementioned objectives.ResultsNumerous IMSCT exist with varying epidemiology. Each IMSCT has its own hallmark characteristics and may vary with regards to how aggressively they invade the spinal cord. These lesions are often difficult to detect and are often misdiagnosed. Furthermore, radiographically and clinically, these lesions may be difficult to distinguish from one another.ConclusionsAwareness and understanding of IMSCT is imperative to facilitate an early diagnosis and plan management.

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