Search results for “multiple sclerosis”

19 results found
Article

Intramedullary spinal metastasis

Intramedullary spinal metastases are rare, occurring in ~1% of autopsied cancer patients, and are less common than leptomeningeal metastases. Intramedullary lesions may result from: growth along the Virchow-Robin spaces hematogenous dissemination direct extension from the leptomeninges Epid...
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Syndrome of inappropriate antidiuretic hormone secretion

The syndrome of inappropriate antidiuretic hormone secretion (SIADH or SIAD) (also known as Schwartz-Bartter syndrome) was initially described in patients with lung cancer who developed hyponatremia associated with continued urinary sodium loss. The result is often dilutional hyponatremia in whi...
Article

Intramedullary spinal tumors

Intramedullary spinal tumors are rare, representing 4-10% of all CNS tumors and <10% of all pediatric CNS neoplasms 5. They account for 20% of all intraspinal tumors in adults and 35% of all intraspinal tumors in children 8. A long duration of symptoms prior to diagnosis is typical. Pathology ...
Article

Numb chin syndrome

Numb chin syndrome describes a sensory neuropathy occurring in the distribution of either the mental nerve or inferior alveolar nerve. While numb chin syndrome has a multitude of causes, it is considered an ominous entity due to its strong association with heralding advanced malignancy 1. Clini...
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Lymphoma of the spinal cord

Lymphoma of the spinal cord is an uncommon manifestation of lymphoma. Although lymphoma more commonly involves the vertebral body (vertebral body tumors) or epidural compartment, intramedullary lymphoma may rarely occur.   Apparent intramedullary spinal cord lymphoma may often, in fact, represe...
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Optic nerve sheath meningioma

Optic nerve meningiomas are benign tumors arising from the arachnoid cap cells of the optic nerve sheath and represent ~20% of all orbital meningiomas, the majority of which are direct extensions from intracranial meningiomas.  These tumors typically appear as masses within the optic nerve, iso...
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Optic nerve enlargement

Enlargement of the optic nerves is uncommon. Swelling of the optic nerves has a surprisingly broad differential. Etiology neoplastic optic nerve glioma optic nerve meningioma leukemia orbital lymphoma metastases juvenile xanthogranuloma medulloepithelioma involvement by retinoblastoma ...
Article

Vertebra plana

Vertebra plana (plural: vertebrae planae), also known as the pancake, silver dollar or coin-on-edge vertebra, is the term given when a vertebral body has lost almost its entire height anteriorly and posteriorly, representing a very advanced compression fracture. Pathology It can occur in a var...
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Lytic bone metastases

Lytic bone (osteolytic) metastases are distant tumor deposits of a primary tumor within bone characterized by a loss of bone with the destruction of the bone matrix. Epidemiology Lytic bone metastases are more common than sclerotic bone metastases. Diagnosis The diagnosis is usually establis...
Article

Pheochromocytoma

Pheochromocytomas are an uncommon tumor of the adrenal gland, with characteristic clinical, and to a lesser degree, imaging features. The tumors are said to follow a 10% rule: ~10% are extra-adrenal ~10% are bilateral ~10% are malignant ~10% are found in children ~10% are not associated wit...
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Vertebral metastases

Vertebral metastases represent the secondary involvement of the vertebral spine by hematogenously-disseminated metastatic cells. They must be included in any differential diagnosis of a spinal bone lesion in a patient older than 40 years. This article will focus only on the metastasis involving...
Article

Dysembryoplastic neuroepithelial tumor

Dysembryoplastic neuroepithelial tumors (DNET) are benign (WHO Grade 1) slow growing glioneuronal tumors arising from either cortical or deep grey matter. They are considered part of the heterogeneous group of tumors known as long-term epilepsy-associated tumors (LEATs). The vast majority of DN...
Article

Renal osteodystrophy

Renal osteodystrophy, also known as uremic osteopathy, is a constellation of musculoskeletal abnormalities that occur in patients with chronic renal failure, due to concurrent and superimposed: osteomalacia (adults) or rickets (children) secondary hyperparathyroidism: abnormal calcium and phos...
Article

Intraventricular masses (an approach)

The ventricular system of the brain plays host to a variety of unique tumors, as well as tumors that are more frequently seen elsewhere (e.g. meningiomas). Besides, some intra-axial (parenchymal) masses can be mostly exophytic and thus appear mostly intraventricular. A systematic approach taking...
Article

Giant cell tumor of bone

Giant cell tumors (GCT) of bone are locally aggressive and rarely malignant or metastasizing bony neoplasms, typically found at the end of long bones which is the region around the closed growth plate extending into the epiphysis and to the joint surface 1. They are classified as osteoclastic gi...
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Bone metastases

Bone (skeletal) metastases are the third most frequent behind lung and liver metastases 6. They result in significant morbidity in patients with metastatic disease. Although the diagnosis is often straightforward, especially as in many cases there is a well-documented history of metastatic malig...
Article

Renal oncocytoma

Renal oncocytomas are relatively benign renal tumors. The main clinical importance of this lesion is the difficulty in preoperatively distinguishing it from renal cell carcinomas, as epidemiology, presentation, imaging and even histology can be very similar.  Epidemiology Renal oncocytomas acc...
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Chordoma

Chordomas are uncommon malignant tumors of the axial skeleton that account for 1% of intracranial tumors and 4% of all primary bone tumors.  They originate from embryonic remnants of the primitive notochord (earliest fetal axial skeleton, extending from the Rathke's pouch to the tip of the cocc...
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Diffuse brainstem glioma (historical)

Diffuse brainstem gliomas or diffuse intrinsic pontine gliomas was a term used to describe infiltrating astrocytomas arising in the brainstem, usually in children. It is no longer recognized as a distinct entity, removed from the 2016 update to the WHO classification of CNS tumors replaced by a ...

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