Interactive Transcript
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In considering intradural extramedullary processes,
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the neoplastic category really predominates in the
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pathology that we see on a day to day basis.
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And those neoplasms that are in the intradural
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extramedullary space are dominated by neurogenic tumors,
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with schwannomas more common than neurofibromas
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and the meningiomas. So, benign conditions.
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There are a number of congenital
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lesions that we discussed,
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including cystic lesions, be it arachnoid cyst,
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neurenteric cyst,
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epidermoid cysts and dermoid cysts, as well as lesions
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that contain fat, as in lipomas or fatty infiltration of
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the filum or lipomeningoceles, or lipomyelomeningoceles.
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Overall, with respect to the infectious etiologies,
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this will be dominated by viral infections and they may
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be manifested by polyneuropathies or polyradiculopathies.
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The vascular malformations are pretty uncommon,
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but what we see in the intradural extramedullary
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space generally are enlarged veins.
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As a manifestation of the most common of these,
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the dural-based, arteriovenous fistula.
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As I said,
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we usually are dealing with benign conditions in the
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intradural extramedullary space, as opposed to the
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neoplasms that may occur in the spinal cord itself.
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So I appreciate your attention,
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and thank you once again.
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