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Chapter III./8.: Disorders of the vertebral column and the spinal cord

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Chapter III./8.: Disorders of the vertebral column and the spinal cord

Péter Banczerowski, Sándor Ilniczky

Introduction

Before reading this chapter, it is essential to review some information learned in previous studies. This will help in understanding and learning of new information presented in this chapter. The following topics should be reviewed:

anatomy of the vertebral column and the spinal cord, segmental structures, ascending and descending pathways, location of nerve roots, and diagnostic methods (X-ray, CT, MRI).

The aim of this learning unit is to provide a classification of the disorders of the vertebral column and the spinal cord, and to discuss the clinical signs and symptoms, diagnostic methods and treatment of spinal disorders.

Thirty-sixty minutes are necessary to read and study each section. The practice test should be solved in 20 minutes.

Key words: vertebral column, spinal cord, classification

Structure of the chapters

III./8.1 Classification of disorders of the vertebral column and the spinal cord

III./8.2 Signs and symptoms of spinal disorders III./8.3 Diagnosis of spinal disorders

III./8.4.1 Developmental malformations of the spine and the spinal cord

III./8.4.2 Spinal trauma

III./8.4.3 Vascular diseases of the spinal cord

III./8.4.4 Inflammatory disorders of the vertebral column and the spinal cord

III./8.4.5 Metabolic myelopathies

III./8.4.6 Degenerative disorders of the spine III./8.4.7 Spinal tumors

References

Banczerowski P.: Neuroonkológia. Orvosképzés 2006; 5: 361-364 Banczerowski P., Benoist Gy.: Low Back Pain. Családorvosi Fórum 10: 13-16, 2006

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Banczerowski P.: Neuroonkológia. Orvosképzés 5: 403-405, 2000 Berstein M, Berger MS. (eds). Neuro-Oncology: The Essentials. New York, Thieme, 2000

Greenberg MS (ed.): Handbook of Neurosurgery. Greenberg Graphics, Inc., Lakeland, Florida, 1997, pp 240-360

Iljicsov A et al. Devic-szindróma-esetismertetés, valamint a diagnosztika és a kezelés aktuális elvei. Ideggyogy Szle 2010;63(9-10):320-6

Ilniczky S, Jelencsik I, Kenéz J, Szirmai I. MR findings in subacute combined degeneration of the spinal cord caused by nitrous oxide anaesthesia – two cases. European Journal of Neurology, 2002, 9:101-104

Jimbo H, Asamoto S, Mitsuyama T, Hatayama K, Iwasaki Y, Fukui Y.

Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review. Spine.

2006;15;31(6):184-7

Kovacs B, Lafferty TL, Brent LH, DeHoratius RJ. Transverse

myelopathy in systemic lupus erythematosus: an analysis of 14 cases and review of the literature. Ann Rheum Dis 2000;59:120-4

Krings T, Mull M, Gilsbach JM, Thron A. Spinal vascular malformations. Eur Radiol. 2005 Feb;15(2):267-78. Review.

Novy J, Carruzzo A, Maeder P, Bogusslavski J. Spinal cord ischaemia:

clinical and imaging patterns, pathogenesis and outcomes in 27 patients. Arch Neurol. 2006; 63(8):1113-20

Palmer JD (ed.): Manual of Neurosurgery. Churchill Livingstone, New York, 1996, pp 757-774

Parsa AT, Lee J, Parney IF, Weinstein P, McCormick PC, Ames C:

Spinal cord and intradural-extraparenchymal spinal tumors: current best care practices and strategies. J Neurooncol. 2004

Aug-Sep;69(1-3):291-318. Review.

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