Tumori spinali

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Transcript of Tumori spinali

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I TUMORI SPINALIProf. Pierpaolo Lunardi

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Unità funzionale vertebrale

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SINDROME CLINICA GENERALE

Dolore

Deficit motorio

Deficit sensitivo

Disturbi sfinterici

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DOLORE

Radicolare

Cordonale

Cornuale

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Sindrome motoria e sensitiva

Radicolare

Cordonale

Sindrome di Brown-Sequard

Sindrome midollare completa

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PATOLOGIE DELLA COLONNAClassificazione

Congenite

Degenerative

Traumatiche

Infiammatorie

Neoplastiche

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Tumori spinali:classificazione

Tumori extradurali (30%)

Tumori intradurali (70%): Tumori intramidollari (20%)

Tumori extramidollari (50%)

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Tumori spinali extradurali

Primitivi

Osteoma

Sarcoma

Condroma

Osteoma osteoide

Osteoblastoma

Tumore a cellule giganti

Mieloma

 “angioma vertebrale”   “cisti aneurismatica” 

Secondari

Tumore primitivo del rene, prostata, utero, polmone.

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METASTASI VERTEBRALI

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Metastasi cervicale

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Tumori intradurali extramidollari

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Tumori intradurali extramidollari

Neurinoma

Meningioma

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Tumori intradurali intramidollari

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Tumori intradurali intramidollari

Ependimoma

 Astrocitoma

Emangioblastoma

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Tumore intramidollare ?

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Tumore intramidollare