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March 1949

ATYPICAL SYNDROMES PRODUCED BY EXTRAMEDULLARY TUMOR OF CERVICAL PORTION OF SPINAL CORD

Author Affiliations

NEW YORK; ANN ARBOR, MICH.

From the Neurological Service of the Mount Sinai Hospital, New York; Dr. I. S. Wechsler, Chief.

Arch NeurPsych. 1949;61(3):262-274. doi:10.1001/archneurpsyc.1949.02310090037004
Abstract

TUMORS of the cervical portion of the spinal cord present diagnostic difficulties which probably exceed those encountered at other levels. The close anatomic association of the cervical portion of the cord with the medulla results in the production of bizarre pictures with signs referable to both structures when the tumor lies in the upper cervical segments. Moreover, the relatively wide bony encasement of the upper cervical part of the cord permits the development of a relatively large growth without the production of a typical tumor syndrome. Finally, the location of a tumor at the proximal end of the cord, enabling it to affect all descending and ascending pathways, as well as roots mediating impulses to and from the upper limbs, permits the development of a wide variety of syndromes, which may bear close resemblances to other neurologic entities. Consequently, "classic" pictures of tumor of the cord may be found far

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