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Early diagnostics of tumors of the spinal nerves with paravertebral dissemination of the cervical spine

Abstract

A new step in improving diagnostics and consequently in the treatment of patients with spinal cord diseases was the use of a noninvasive method of investigation – magnetic resonance imaging (MRI) and computed tomography (CT) in neurosurgical practice.

The purpose of the study was to assess the dynamics of diagnosis from the appearance of the first symptoms of the disease. An analysis of 60 patients with tumor lesions of the spinal nerves with paravertebral spread of the cervical spine was carried out.

Conducting violations, in a larger number, were present in groups 2 and 3 for 20 and 7 cases, respectively. In 5 cases, conduction disorders were present in group 1. In general, the debut of the disease began with segmental disorders. But there were cases, namely 6 clinical observations, when the patient complained of weakness in the lower extremities, and then segmental disorders were added.

Indications for surgical treatment were the presence of OSMNPR. In 100% of cases, the tumor was removed completely.

Starting from the data of the anamnesis, the debut of the disease in patients with OSMNPR started with segmental disorders, which was complicated by a differential diagnosis with a number of other diseases such as osteochondrosis of the cervical spine and in turn made it difficult to diagnose such patients early.

About the Authors

E. I. Slynko
ГУ «Институт нейрохирургии им. А. П. Ромоданова НАМН Украины»
Ukraine


Yu. V. Derkach
ГУ «Институт нейрохирургии им. А. П. Ромоданова НАМН Украины»
Ukraine


References

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Review

For citations:


Slynko E.I., Derkach Yu.V. Early diagnostics of tumors of the spinal nerves with paravertebral dissemination of the cervical spine. Military Medicine. 2018;(3):45-47. (In Russ.)

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ISSN 2074-5044 (Print)