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Imaging Tumours of the Spine and Spinal Cord

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Book cover Recent Advances in Diagnostic Neuroradiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Spine and spinal cord tumours are rare (Osborn 1994; Sze 1996). Still, these tumours are often found in younger patients or children and should be properly identified. Early diagnosis plays an important role in the management of spinal cord tumours and will interfere with the pro gnosis and final outcome of the patient (BalÈriaux 1999). Plain X-ray still has an important role to play providing a first overview of the spine including an easy dynamic approach of the spine. CT remains the imaging modality of choice for the evaluation of the bony vertebral structures but is of limited diagnostic value in the case of intramedullary pathology. MRI should be performed as so on as possible and firstly whenever an intrinsic spinal cord lesion is clinically suspected. Systematic analysis of the MR images together with a basic knowledge of the most common spinal cord tumours encountered eases early recognition of the disease and leads to appropriate treatment (BalÈriaux et al. 1999; Zileli et al. 1996).

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References

  • Algra PR, Bloem JL, Tissing H, Falke TH, Arndt JW, Verboom LJ (1991) Detection of vertebral metastases: comparison between MR imaging and bone scintigraphy. Radiographics 11:219–232

    Article  CAS  PubMed  Google Scholar 

  • Aoki J, Moriya K, Yamashita K et al. (1991) Giant cell tumours of bone containing large amounts of hemosiderin: MRpathologie correlation. J Comput Assist Tomogr 15:1024–1027

    Article  CAS  PubMed  Google Scholar 

  • Baker KB, Moran CJ, Wippold FJ 2nd et al. (2000) MR imaging of spinal hemangioblastoma. AJR 174:377–382

    Google Scholar 

  • Balériaux DL (1999) Spinal cord tumours. Eur Radiol 9:1252–1258

    Article  PubMed  Google Scholar 

  • Balériaux D et al. (1999) MRI of spinal cord diseases. CD ROM. Lasion (ed) 2nd edition

    Google Scholar 

  • Balériaux D, Brotchi J (1992) Spinal cord tumours. Neuroradiological and surgieal considerations. Riv Neuroradiol 5:29–41

    Google Scholar 

  • Balériaux D, Parizel P, Bank WO (1992) Intraspinal and Intramedullary Pathology. In: Manelfe C (nted) Imaging of the Spine and Spinal Cord. Raven Press, New York, pp 513–564

    Google Scholar 

  • Bourgouin PM, Lesage J, Fontaine S et al. (1998) A pattern approach to the differential diagnosis of intramedullary spinal cord lesions on MR imaging. AJR Am J Roentgenol 170:1645–1649

    Article  CAS  PubMed  Google Scholar 

  • Bowen BC, Pattany PM (1999) Vascular anatomy and disorders of the lumbar spine and spinal cord. Magn Reson Imaging Clin North Am 7:555–571

    CAS  Google Scholar 

  • Bret P, Bougeard R, Saint-Pierre G, Guyotat J, Rrieci AC, Confavreux C (1997) Intramedullary subependymoma of the cervical spinal cord. Review of the literature apropos of a case. Neurochirurgie 43:158–163

    CAS  PubMed  Google Scholar 

  • Brotchi J, Dewitte O, Levivier M et al. (1991) A survey of 65 tumours within the spinal cord: surgical results and the importance of preoperative magnetic resonance imaging. Neurosurgery 29:651–657

    Article  CAS  PubMed  Google Scholar 

  • Brotchi J, Noterman J, Balériaux D (1992) Surgery of intramedullary spinal cord tumours. Acta Neurochir (Wien) 116:176–178

    Article  CAS  PubMed  Google Scholar 

  • Bydder GM, Brown J, Niendorf HP, Young IR (1985) Enhancement of cervical intra spinal tumours in MR imaging with intravenous gadolinium-DTPA. J Comput Assist Tomogr 9:847–851

    Article  CAS  PubMed  Google Scholar 

  • Castillo M, Smith MM, Armao D (1999) Midline spinal cord hamartomas: MR imaging features of two patients. AJNR 20:1169–1171

    CAS  PubMed  Google Scholar 

  • Caviness JA, Tucker MH, Pia SK, Tam DA (1998) Hydrocephalus as a possible early symptom in a child with a spinal cord tumour. Pediatr Neurol 18:169–171

    Article  CAS  PubMed  Google Scholar 

  • Chandy MJ, Babu S (1999) Management of intramedullary spinal cord tumours: review of 68 patients. Neurol India 47:224–228

    CAS  PubMed  Google Scholar 

  • Clark CA, Barker GJ, Tofts PS (1999) Magnetic resonance diffusion imaging of the human cervical spinal cord in vivo. Magn Reson Med 41:1269–1273

    Article  CAS  PubMed  Google Scholar 

  • Colombo N, Kucharczyk W, Brant-Zawadzki M, Norman D, Scotti G, Newton TH (1986) Magnetic resonance imaging of spinal cord hemangioblastoma. Acta Radiol (Diagn) 769:S734–S737

    Google Scholar 

  • Constantini S, Houten J, Miller DC et al. (1996) Intramedullary spinal cord tumours in children under the age of 3 years. J Neurosurg 85:1036–1043

    Article  CAS  PubMed  Google Scholar 

  • Del Carpio O’Donovan R (1998) A pattern approach to the differential diagnosis of intramedullary spinal cord lesions on MR imaging. AJR Am J Roentgenol 170:1645–1649

    Article  Google Scholar 

  • Edal E, Balériaux D, Metens T et al. (1997) Three-dimensional turbo spin echo cervical magnetic resonance myelography. Int J Neuroradiol 3:130–135

    Google Scholar 

  • Epstein FJ, Farmer JP, Freed D (1992) Adult intramedullary astrocytomas of the spinal cord. J Neurosurg 77:355–359

    Article  CAS  PubMed  Google Scholar 

  • Eskridge JM, McAuliffe W, Harris B, Kim DK, Scott J, Winn HR (1996) Preoperative endovascular embolization of craniospinal hemangioblastomas. AJNR 17:525–531

    CAS  PubMed  Google Scholar 

  • Fischer G, Brotchi J (1996) Intramedullary Spinal Cord Tumours. Thieme, Stuttgart New York

    Google Scholar 

  • Fine MJ, Kricheff II, Freed D, Espstein FJ (1995) Spinal cord ependymomas: MR imaging features. Radiology 197:655–658

    CAS  PubMed  Google Scholar 

  • Friedman DP, Hollander MD (1998) Myxopapillary ependymoma of the conus medullaris or filum terminale resulting in superficial siderosis and dissemination of tumour along CSF pathways. Radiographics 18:794–798

    Article  CAS  PubMed  Google Scholar 

  • Hamburger C, Buttner A, Weis S (1997) Ganglioglioma of the spinal cord: report of two rare cases and review of the literature. Neurosurgery 41:1410–1415

    Article  CAS  PubMed  Google Scholar 

  • Innocenzi G, Cervoni L, Caruso R (1997) Intramedullary cervical neurinoma. A case report and review of the literature. Minerva Chir 52:679–682

    CAS  PubMed  Google Scholar 

  • Ijaz T, Jones K (1997) Images in clinical medicine. Intramedullary spinal cord metastases. N Engl J Med 13; 336(11):768

    Article  CAS  Google Scholar 

  • Kahan H, Sklar EML, Donovan Post MJ, Bruce JH (1996) MR characteristics of histopathologic subtypes of spinal ependymoma. AJNR 17:143–150

    CAS  PubMed  Google Scholar 

  • Klisch J, Spreer J, Bloss HG, Baborie A, Hubbe U (1999) Radiological and histologie al findings in spinal intramedullary angiolipoma. Neuroradiology 41:584–587

    Article  CAS  PubMed  Google Scholar 

  • Koen JL, McLendon RE, George TM (1998) Intradural spinal teratoma: evidence for a dysembryogenic origin. Report of four cases. J Neurosurg 89:844–851

    Article  CAS  PubMed  Google Scholar 

  • Lahanis S, Vlahos L, Gouliamos A, Papavasiliou C (1993) Arteriovenous malformation of the spinal cord mimicking a tumour. Neuroradiology 35:598–599

    Article  CAS  PubMed  Google Scholar 

  • Laredo JL, Assouline E, Gelbert F et al. (1990) Vertebral hemangiomas: fat content as a sign of aggressiveness. Radiology 177:467–472

    CAS  PubMed  Google Scholar 

  • Lee M, Epstein FJ, Rezai AR, Zagzag DD (1998) Nonneoplastic intramedullary spinal cord lesions mimicking tumours. Neurosurgery 43:788–794

    Article  CAS  PubMed  Google Scholar 

  • Levivier M, Brotchi J, Balériaux D, Pirotte B, Flament-Durand J (1991) Sarcoidosis presenting as an isolated intramedullary tumour. Neurosurgery 25:271–276

    Google Scholar 

  • Li MH, Holtas S (1991) MR imaging of spinal intramedullary tumours. Acta Radiol 32:505–513

    Article  CAS  PubMed  Google Scholar 

  • Lunardi P, Licastro G, Missori P, Ferrante L, Fortuna A (1993) Management of intramedullary tumours in children. Acta Neurochir (Wien) 120:59–65

    Article  CAS  PubMed  Google Scholar 

  • Manelfe C (1992) Imaging of the Spine and Spinal Cord. Raven Press, New York

    Google Scholar 

  • Mascalchi M, Cosottini M, Ferrito G, Quilici N, Bartolozzi C, Villari N (1999)

    Google Scholar 

  • Contrast-enhanced time-resolved MR angiography of spinal vascular malformations. J Comput Assist Tomogr 23:341–345

    Google Scholar 

  • Minami M, Hanakita J, Suwa H, Suzui H, Fujita K, Nakamura T (1998) Cervical hemangioblastoma with a past his tory of subarachnoid hemorrhage. Surg Neurol 49:278–281

    Article  CAS  PubMed  Google Scholar 

  • Nagib MG, O’Fallon MT (1997) Myxopapillary ependymoma of the conus medullaris and filum terminale in the pediatric age group. Pediatr Neurosurg 26:2–7

    Article  CAS  PubMed  Google Scholar 

  • Nadkarni TD, Rekate KL (1999) Pediatric intramedullary spinal cord tumours. Critical review of the literature. Childs Nerv Syst 15:17–28

    Article  CAS  PubMed  Google Scholar 

  • Nemoto Y, Inoue Y, Tashiro T et al. (1992) Intramedullary spinal cord tumours: significance of associated hemorrhage at MR imaging. Radiology 182:793–796

    CAS  PubMed  Google Scholar 

  • Ng TH, Fung CF, Goh W, Wong VC (1991) Ganglioneuroma of the spinal cord. Surg Neurol 35:147–151

    Article  CAS  PubMed  Google Scholar 

  • Osborn AG (1994) Chapter 21: Tumours, Cysts and Tumourlike Lesions of the Spine and Spinal Cord. In: Anne G (nted) Diagnostic Neuroradiology. Mosby, pp 876–918

    Google Scholar 

  • Papadatos D, Albrecht S, Mohr G, del Carpio-O’Donovan R (1998) Exophytic primitive neuroectodermal tumour of the spinal cord. AJNR 19:787–789

    CAS  PubMed  Google Scholar 

  • Parizel P, Balériaux D, Rodesch G et al. (1989) Gd-enhanced MR imaging of spinal tumours. AJNR 10:249–258

    Google Scholar 

  • Przybylski GJ, Albright AL, Martinez AJ (1997) Spinal cord astrocytomas: long-term results comparing treatments in children. Childs Nerv Syst 13:375–382

    Article  CAS  PubMed  Google Scholar 

  • Patel U, Pinto RS, Miller DC et al. (1998) MR of spinal cord ganglioglioma. AJNR 19:879–887

    CAS  PubMed  Google Scholar 

  • Rifkinson-Mann S, Wishoff JH, Epstein F (1990) The association of hydrocephalus with intramedullary spinal cord tumours: aseries of 25 patients. Neurosurgery 27:749–754

    Article  CAS  PubMed  Google Scholar 

  • Russo CP, Katz DS, Corona RJ Jr, Winfield JA (1995) Gangliocytoma of the cervicothoracic spinal cord. AJNR 16:889–891

    CAS  PubMed  Google Scholar 

  • Scotti G, Scialfa G, Colombo N, Landoni. (1987) Magnetic resonance diagnosis of intramedullary tumours of the spinal cord. Neuroradiology 29:130–135

    Article  CAS  PubMed  Google Scholar 

  • Sevick RJ, Wallace CJ (1999) MR imaging of neoplasms of the lumbar spine Magn Reson Imaging Clin North Am 7:539–553

    CAS  Google Scholar 

  • Shi HB, Suh DC, Lee HK et al. (1999) Preoperative transarterial embolization of spinal tumour: embolization techniques and results. AJNR 20:2009–2015

    CAS  PubMed  Google Scholar 

  • Sibilla L, Martelli A, Farina L et al. (1995) Ganglioneuroblastoma of the spinal cord. AJNR 16:875–877

    CAS  PubMed  Google Scholar 

  • Sundgren P, Annertz M, Englund E, Stromblad LG, Holtas S (1999) Paragangliomas of the spinal canal. Neuroradiology 41:788–794

    Article  CAS  PubMed  Google Scholar 

  • Sze G. (1996) Chapter 27: Neoplastic disease of the spine and spinal cord. In: Atlas SW (ed) Magnetic Resonance Imaging of the Brain and Spine, 2nd edition, Lippincott-Raven, pp 1339–1385

    Google Scholar 

  • Thakkar SD, Feigen U, Mautner VF (1999) Spinal tumours in neurofibromatosis type 1: an MRI study of frequency, multiplicity and variety. Neuroradiology 41:625–629

    Article  CAS  PubMed  Google Scholar 

  • Timmer FA, van Rooij WJ, Beute GN, Teepen JL (1993) Intramedullary lipoma. Neuroradiology 38:159–160

    Article  Google Scholar 

  • Warnock NG, Yuh, WTC (1993) Magnetic resonance imaging in the discrimination of benign from malignant disease of the lumbosacral vertebral column. Neuroimaging Clin North Am 3:609–623

    Google Scholar 

  • Young Poussaint T, Yousuf N, Barnes PD et al. (1999) Cervicomedullary astrocytomas of childhood: clinical and imaging follow-up. Pediatr Radiol 29:662–668

    Article  Google Scholar 

  • Zileli M, Coskun E, Ozdamar N et al. (1996) Surgery of intramedullary spinal cord tumours. Eur Spine J 5:243–250

    Article  CAS  PubMed  Google Scholar 

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© 2001 Springer-Verlag Berlin Heidelberg

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BalÉriaux, D., Rio, F., David, P. (2001). Imaging Tumours of the Spine and Spinal Cord. In: Demaerel, P. (eds) Recent Advances in Diagnostic Neuroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56662-2_27

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  • DOI: https://doi.org/10.1007/978-3-642-56662-2_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63003-3

  • Online ISBN: 978-3-642-56662-2

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