Presentation
Mononeuropathies The presentation of CH in peripheral nerves presenting as mononeuropathies is rare. In some conditions also the term neuroleukemiosis has been suggested [ 21 ]. [omicsonline.org]
In contrast to these monophasic presentations, other patients may present with a progressive course. [painspa.co.uk]
At presentation patients ranged in age from 19 to 71 years (mean 47 ±15 years), and neurofibromatosis was present in eight patients (32%). [dx.doi.org]
Uncommonly, prostate cancer can present as a lumbosacral plexopathy occurring through direct pelvic spread. [ncbi.nlm.nih.gov]
Entire Body System
- Weight Loss
Diabetic amyotrophy Diabetic lumbosacral radiculoplexus neuropathy is a subacute, painful asymmetric lower limb neuropathy that is associated with significant weight loss (at least 10 pounds), type 2 diabetes mellitus, and relatively recent diagnosis [painspa.co.uk]
Sensory loss is generally less pronounced,although patellar reflexes typically are absent or sluggish. Withprogression, noticeable muscle wasting occurs, resulting in significantatrophy and weight loss. [slideshare.net]
Cardiovascular
- Thrombosis
Thrombosis of the great vessels or venous sinuses of the brain can be fatal. Spinal cord compression can result from lesions within the spinal canal. [ozradonc.wikidot.com]
When the tumor becomes larger, the following occurs: degenerative involution, hemorrhage and cystic degeneration due to vascular thrombosis, and subsequent necrosis. [2], [3] Microscopically, the plexiform neurofibroma shows a chaotic array of wavy Schwann [jmgims.co.in]
[…] radiation-induced lumbosacral plexopathy (RILSP) Discussion RILSP is rare, but is one of the most disabling complications of pelvic radiation therapy, as the leg weakness or incapacitating pain immobilize the patient, leading to infection, deep venous thrombosis [dovepress.com]
One of the patients with thrombosis had a vascular interponate. All in all, patients with recurrent endometrial cancer seem to have the greatest benefit from resection combined with IOERT with 5-year survival rates of 50 %. [ro-journal.biomedcentral.com]
In the group of endometrial cancer patients, one patient had a superficial vein thrombosis, and one had a phase of transitional postoperative aphasia which resolved completely. [hindawi.com]
Musculoskeletal
- Back Pain
Massoud M, Del Bufalo F, CaterinaMusolino AM, Schingo PM, Gaspari S, et al. (2016) Myeloid Sarcoma Presenting as Low Back Pain in the Pediatric Emergency Department. J Emerg Med. [omicsonline.org]
[…] of the lower back is affected, it can cause back pain, alteration in bowel movements and bowel control, alteration in urinary bladder control, etc. [dovemed.com]
If the sacral plexus nerve of the lower back is affected, it can cause back pain, alteration in bowel movements and bowel control, alteration in urinary bladder control, etc. [medcraveonline.com]
Specificity of needle electromyography for lumbar radiculopathy in 55- to 79-yr-old subjects with low back pain and sciatica without stenosis. Am J Phys Med Rehabil. 2011;90(3):233–238. 15. Emami B, Lyman J, Brown A, et al. [dovepress.com]
Spinal Cord Tumor Symptoms Back pain or pain that spreads from the back towards the arms or legs. A change in bowel habits or trouble urinating. Weakness or numbness in the arms or legs. Trouble walking. [my.clevelandclinic.org]
- Fracture
ボクサー骨折〈中手骨頚部骨折〉 brace装具(=orthosis) brachial plexus腕神経叢(わんしんけいそう) brachial plexus injury腕神経叢損傷 Brown-Séquard syndrome脊髄半(片)側麻痺、Brown-Séquard症候群 burn熱傷、やけど、火傷 bursa 滑液包(かつえきほう) bursitis滑液包炎 burst[ing] fracture破裂骨折 buttonhole deformityボタン穴変形 c café-au-lait [tokyo-med.ac.jp]
Fractures to the sacroiliac joint usually involve theintralateral lumbosacral trunk with impairment clinically seen at theL5 and S1 levels. Fractures or dislocations of the hip joint canproduce traction injuries to the lumbosacral plexus. [slideshare.net]
As a spine tumor grows, it can weaken bones and compress the spinal cord and nerves, resulting in spine fractures and neurologic injuries. Often, the first symptom of a spine tumor is the pain you feel because of these changes. [mskcc.org]
Gadolinium enhancement may be present in active disease. 8,9 Traumatic injury Blunt or penetrating trauma with fracture, dislocation, or hematoma formation may produce compression stretching or avulsion of the brachial plexus. [appliedradiology.com]
MR imaging demonstrates post-traumatic neuromas (tangles of regenerating nerve fibers), focal or diffuse fibrosis, and masses that compress or stretch the plexus, such as hematoma, clavicular fracture, and humeral dislocation. 2, 4, 11, 26 Entrapment [ajnr.org]
- Low Back Pain
Massoud M, Del Bufalo F, CaterinaMusolino AM, Schingo PM, Gaspari S, et al. (2016) Myeloid Sarcoma Presenting as Low Back Pain in the Pediatric Emergency Department. J Emerg Med. [omicsonline.org]
Specificity of needle electromyography for lumbar radiculopathy in 55- to 79-yr-old subjects with low back pain and sciatica without stenosis. Am J Phys Med Rehabil. 2011;90(3):233–238. 15. Emami B, Lyman J, Brown A, et al. [dovepress.com]
back pain (LBP)腰痛[症] lower extremity (L/E)下肢 lower limb 下肢 lumbago 腰痛[症] lumbar 腰椎[の]【形】、腰部[の]【形】 lumbar disk herniation 腰椎椎間板ヘルニア lumbar spinal canal stenosis 腰部脊柱管狭窄症 lumbar spine腰椎、脊柱腰椎部 lumbosacral plexus腰仙神経叢 luxatio coxae congenita (LCC)先天性股関節脱臼 [tokyo-med.ac.jp]
- Spine Pain
The type of pain can provide important information about the tumor. Pain mainly when you sit or stand usually means that the tumor is causing weakness or instability in the bones of your spine. [mskcc.org]
Urogenital
- Pelvic Pain
» Causes of pain in cancer cervix Pelvic cancer causes visceral, neuropathic, and somatic pains. [jpalliativecare.com]
Neurologic
- Neuralgia
[…] the The multiplicity of procedures with varying neurosurgeon may provide an important degrees of risks and benefits sometimes re contribution to the relief of intractable pain: quires a sequential approach, but always an trigeminal and other facial neuralgias [books.google.com]
[…] elsewhere classified ( R00 - R94 ) Diseases of the nervous system G50-G59 2019 ICD-10-CM Range G50-G59 Nerve, nerve root and plexus disorders Type 1 Excludes current traumatic nerve, nerve root and plexus disorders - see Injury, nerve by body region neuralgia [icd10data.com]
In: Syllabus of the joint section on brain tumors of the CNS and AANS: 136–163 Google Scholar Pannullo SC, Michael H, Lavyne H (1996) Trigeminal neuralgia. [link.springer.com]
Occurring in this area, inflammatory processes are accompanied by neuralgia, which covers the lower half of the body. Often, there are pains. [acikgunluk.net]
Boleto G, Michel M, Salam N, Eschard JP, Salmon JH, et al. (2016) Low back pain and femoral neuralgia revealing myeloid sarcoma with megakaryocytic differentiation. Joint Bone Spine. [omicsonline.org]
- Dysesthesia
ESSENTIALS OF ASSESSMENT History Patients will report dysesthesias, numbness, and swelling of the limb. 2,4,5,19,23 Pain is seen later in the course of the disease and is more frequent in brachial than in lumbosacral plexopathy. 26 Patients may report [now.aapmr.org]
The RILSP was defined as the “occurrence of paresthesias, numbness, dysesthesias, pain or lower extremity weakness confirmed on T2-weighted MRI (diffuse marrow and perineural foramina hyper-intensity)”. [dovepress.com]
- Limb Weakness
weakness, numbness and paresthesia. [appliedradiationoncology.com]
- Aphasia
In the group of endometrial cancer patients, one patient had a superficial vein thrombosis, and one had a phase of transitional postoperative aphasia which resolved completely. [hindawi.com]
Workup
Careful workup, surgical technique, and attention to pathological diagnosis optimize management. [dx.doi.org]
Workup The clinical diagnosis of NLP is confirmed by magnetic resonance imaging (MRI) or computed tomography (CT) scanning of the affected areas. [emedicine.medscape.com]
Treatment
Treatment for children is usually different than treatment for adults. (See the PDQ summary on Adult Central Nervous System Tumors Treatment for more information about the treatment of adults.) [cancer.gov]
Escalante, MD, FACP Professor and Chair, Dept of General Internal Medicine,Ambulatory Treatment and Emergency CareThe University of Texas, M. D. Anderson Cancer CenterHouston, Texas Robert F. [books.google.com]
REHABILITATION MANAGEMENT AND TREATMENTS Available or current treatment guidelines There is no definitive treatment to arrest RIP progression or improve neurologic function. [now.aapmr.org]
We have rehabilitation and pain management experts ready to assist you after treatment. We can help you with the pain, numbness, weakness, and loss of mobility that may result from a spine tumor or its treatment. [mskcc.org]
Washington University spinal neurosurgeons specialize in the treatment of complex brachial plexus tumors and/or spinal nerve root tumors. [neurosurgery.wustl.edu]
Prognosis
ST-EPN-YAP1 : Predominantly childhood ependymomas with favorable prognosis, characterized by fusions of YAP1. [neuropathology-web.org]
Treatment and prognosis It is an aggressive tumor that carries a poor prognosis, with 20-25% of patients developing metastases 8. [radiopaedia.org]
What is the Prognosis of Spinal Schwannoma? (Outcomes/Resolutions) The prognosis of Spinal Schwannoma (benign tumor) is excellent, if the tumor can be removed without damaging the underlying nerve. [dovemed.com]
Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options for primary brain and spinal cord tumors depend on the following: The type and grade of the tumor. [my.clevelandclinic.org]
The fact that prognosis of patients published prior to 1970 is unchanged to the prognosis in the most recent publications warrants the start of such an effort. [nature.com]
Etiology
The probable etiology of tumor spreading along prostatic nerves into the lumbosacral plexus (i.e., perineural spread) is discussed as are the potential mechanisms for this unusual mode of cancer dissemination. [ncbi.nlm.nih.gov]
(Etiology) The exact cause and mechanism of Spinal Schwannoma formation, in a majority of cases, is unknown; they are known to be the result of sporadic mutations. This implies that they do not have a preceding family history of the condition. [dovemed.com]
A viral etiology has been proposed while some cases have been reported to occur following vaccinations. 7 Hypertrophy and diffuse hyperintensity on T2W images of the plexus components have been described in cases of chronic inflammatory demyelinating [appliedradiology.com]
Identifying the etiology of pain is essential to its management. Clinicians treating patients with cancer should recognize the common cancer pain syndromes. [jpalliativecare.com]
The syndrome refers to a rare set of symptoms resulting from inflammation of unknown etiology of the brachial plexus. [slideshare.net]
Epidemiology
No Shinkei Geka 7 : 815–818 Janisch W, Staneczek W (1988) Epidemiology of tumors of the central nervous system–influence of the autopsy rate on the incidence rate. [nature.com]
Late fibroatrophic phase with retractile fibrosis. 4 Various potential contributors have been posited, including free radical damage and ischemia from fibroatrophic changes. 4 Epidemiology including risk factors and primary prevention Many cancer patients [now.aapmr.org]
DOI] 8 Extraventricular Intraparenchymal Choroid Plexus Tumors in Cerebral Hemisphere: A Series of 6 Cases Qichao Qi,Shilei Ni,Xudong Zhou,Bin Huang,Xingang Li World Neurosurgery. 2015; 84(6): 1660 [Pubmed] | [DOI] 9 Pediatric choroid plexus tumors: epidemiology [neurologyindia.com]
Pathophysiology
[…] and pathophysiologic features. [painspa.co.uk]
Pathophysiology Neuroectodermal origin: The structure is similar to normal choroid plexus, and it is formed of epithelial cells. [ispn.guide]
Pathophysiology and management of radiation induced lumbosacral plexopathy. Turk Onkoloji Dergisi. 2008;23(3):147-152. Gosk J, Rutowski R, Reichert P, et al. [appliedradiationoncology.com]
The goal of the initial assessment of pain is to characterize the pathophysiology of the pain and to determine the intensity of the pain and its impact on the patient's ability to function. [jpalliativecare.com]
RIP presents most commonly with nonspecific neurologic changes that can include a combination of numbness, paresthesias, pain, and weakness. 1,2 Etiology and Pathophysiology Prior to the 1960s, nervous tissue was thought to be resistant to radiation damage [now.aapmr.org]
Prevention
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
As mentioned, neurological changes are usually irreversible, which underscores the importance of prevention. [appliedradiationoncology.com]
Although RIP occurrence has diminished with new treatment approaches, the evidence-based therapeutic options to prevent progression of RIP and manage symptoms is limited. REFERENCES Schierle C, Winograd JM. [now.aapmr.org]
News Alerts Receive our Newest media and Improvements Journal of eISSN: 2373-633X JCPCR Cancer Prevention & Current Research Case Report Volume 8 Issue 4 - 2017 Large Cystic Intradural Schwannoma Extending from L2 to S4 Spinal Segments: A Case Report [medcraveonline.com]