Diagnosis of tumors of the spinal nerves
Objective. The aim of the work was to study the diagnostic features of tumors of the spinal nerves in order to improve the quality of diagnosis in the early stages.
Material and methods. The analysis included 60 patients with tumors of the spinal nerves of the cervical spine, who were treated at the Romodanov Neurosurgery Institute in 2006–2018. In our study, we evaluated the neurological state of patients by the pain syndrome manifestation, segmental sensory and motor disorders, conductive sensory and motor disturbances.
Results. Out of 60 patients with cervical spinal tumors, neuromas were found in 47, neurofibromas — in 10, malignant tumors of the peripheral nerves — in 3. The slow growth of the tumor allowed the nervous structures to compensate the compression factor, due to which the tumor reached significant proportions with minor clinical manifestations.
Conclusions. Early diagnosis of tumors of the spinal nerves is a decisive factor in determining the treatment tactics, planning the stages of surgical management.
In all cases, tumors of the cerebrospinal nerves debuted clinically with segmental disorders. With the growth of tumors in the vertebral canal, the conduction violations joined to segmental violations.
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