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The spinal cord is surrounded by three layers known as the spinal meninges. [13] These are the dura mater, arachnoid mater, and pia mater. Spinal cord tumors are classified based on their location within the spinal cord: intradural (intradmedullary and extramedullary) and extradural tumors. [citation needed] Intradural tumors are located within ...
Spinal nerve sheath tumors are typically intradural, meaning that they arise inside the dura mater surrounding the spinal cord , but may also be found in other areas of the spine. [2] Spinal nerve sheath tumors generally arise as single lesions . [ 1 ]
Tumor type Malignancy Estimated incidence Location Schwannoma Benign 1.09 per 100,000/year Skin and subcutaneous tissues of the head and neck, or along the flexor surfaces of the extremities; Spinal intradural extramedullary site with growth into foraminal space; Eight cranial nerve (bilateral involvement in NF2) Neurofibroma
Spinal Cord Tumor Presentations. Pain is the first symptom in >90% of patients presenting with epidural metastasis and occurs less frequently with intradural tumors. [6] Mechanisms of pain include spinal cord ischemia and traction on the periosteum, dura, nearby soft tissues, and nerve roots. [6]
The dura mater covering the spinal cord is known as the dural sac or thecal sac, and only has one layer (the meningeal layer) unlike cranial dura mater. The potential space between these two layers is known as the epidural space , [ 5 ] which can accumulate blood in the case of traumatic laceration to the meningeal arteries .
Tarlov cysts are most commonly located in the S1 to S4/S5 region of the spinal canal, but can be found along any region of the spine.They usually form on the extradural components of sacrococcygeal nerve roots at the junction of dorsal root ganglion and posterior nerve roots and arise between the endoneurium and perineurium. [10]
The lumbar cistern is part of the subarachnoid space.It is the space within the thecal sac which extends from below the end of the spinal cord (the conus medularis), typically at the level of the first to second lumbar vertebrae down to tapering of the dura at the level of the second sacral vertebra.
Disc herniation can occur in any disc in the spine, but the two most common forms are lumbar disc herniation and cervical disc herniation. The former is the most common, causing low back pain (lumbago) and often leg pain as well, in which case it is commonly referred to as sciatica .