I. DEFINITIONS
Spinal cord tumor is a tumor that develops in the spine or its contents and usually cause symptoms because of the involvement of the spinal cord or nerve roots. (Price sylvia anderson, 1995)
II.KLASIFIKASIONS
a.Tumor Intradural
In contrast to intradural tumors ekstradural tumors generally benign.
Tumor Ekstramedular
Durameter and located between the spinal cord, most of the tumors in this region are benign neurofibroma or meningioma
Tumor Intramedular
Derived from the spinal cord itself.
b.Tumor Ekstradural
Tumor ekstradural primarily metastase from primary lesions in the breast, prostate, thyroid, lung, kidney, and stomach
Tumor ekstradural generally come from the vertebral column or from the room ekstradural. Neoplasm ekstradural indoor ekstradural carcinoma and lymphoma usually metastase.
III.MANIFESTASI OF CLINIC
Tumor ekstradural
Pain is described as a constant and limited to the tumor area followed by a pain that extends dermatome pattern
Greatest pain at night and become more powerful by the movement of the spine and the rest lie
Radikuler pain exacerbated by coughing and straining
The pain may last for several weeks or months prior to the involvement of the spinal cord.
Spinal cord function will vanish altogether
Spastic weakness and loss of vibration sensation
Parestesi and sensory deficits will grow rapidly into the irreversible paraplegia
Irritable bowel and urination
Intradural tumor
Clinical journey more slowly and lasted for months.
Reduced perception of pain and temperature below the level of the contralateral lesion
Patient complains of pain, at first on the back and then along the spinal roots
The pain intensified by movement, coughing, sneezing, or straining, and most severe at night (pain at night is caused by traction on the roots of the illness, which is when the spine is elongated after the disappearance of the effect of gravitational contraction.
Paraesthesia and continuing proprioceptive sensory deficit
IV.ETIOLOGI
Risk factors tumors can occur in any race group, the incidence increases with age, risk factors will increase in people exposed to certain chemicals (Okrionitil, inks, solvents, lubricating oils), but it is not. The influence of genetic tibulnya participate in tumors, tuberculosis and multiple sclerosis disease neurofibomatosis disease.
V.patofisiologi
Pathophysiological conditions due to spinal cord tumors are caused by damage and infiltration, shift and decompress the spinal cord and interruption of blood supply or cerebrospinal fluid. Degree of symptoms depending on the level of decompression, and speed the development, adaptation can occur with slow-growing tumors, 85% benign spinal cord tumors.
Especially good tumor arising neoplasms ekstramedula or intra-medullary. Secondary tumors or tumors can also interfere metastase the spinal cord and the lining and the vertebra
Ekstramedular tumor from tumor edge intramedural initially loaded the root causes of subjective pain. With the growth of tumors can arise motor and sensory deficits associated with the level of the spinal cord akardan attacked. Because there was a tumor growing emphasis on the spinal cord. In line with that of patients lose all motor function below the lesion and sensory / tumor
Spinal cord tumors, which starts from the spinal cord, often causing symptoms such as the central spinal cord, including segmental loss of pain and temperature functions. Moreover, the function of cells, anterior horn is often missing, especially on the hands. The whole point is near the central gray objects into dysfunction. Rasanyeri and sensory loss of temperature and motor weakness progress little by little, gain weight and decrease. Cauda motor and sensory functions of the latter will be lost, including the loss function fecal and urine elimination. (Long C, Barbara, 1996)