Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental study

Introduction: Despite the relatively low prevalence of metastatic cervical spinal tumor, these entities give rise to more profound complications than thoracic and lumbar spinal tumor. However, it is regrettable that experimental investigation has thus far shown a dearth of attention to metastatic ce...

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Main Authors: Shunsuke Sato, Masahito Takahashi, Kazuhiko Satomi, Hideaki Ohne, Takumi Takeuchi, Atsushi Hasegawa, Shoichi Ichimura, Naobumi Hosogane
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Brain and Spine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772529424000985
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author Shunsuke Sato
Masahito Takahashi
Kazuhiko Satomi
Hideaki Ohne
Takumi Takeuchi
Atsushi Hasegawa
Shoichi Ichimura
Naobumi Hosogane
author_facet Shunsuke Sato
Masahito Takahashi
Kazuhiko Satomi
Hideaki Ohne
Takumi Takeuchi
Atsushi Hasegawa
Shoichi Ichimura
Naobumi Hosogane
author_sort Shunsuke Sato
collection DOAJ
description Introduction: Despite the relatively low prevalence of metastatic cervical spinal tumor, these entities give rise to more profound complications than thoracic and lumbar spinal tumor. However, it is regrettable that experimental investigation has thus far shown a dearth of attention to metastatic cervical spinal tumor. Research question: What is the conceptualization and realization of quadriparesis resulting from metastatic cervical spinal tumor? Material and methods: Using Fischer 344 rats as the experimental cohort, this study orchestrated the engraftment of tumor cells procured from the 13762 MAT B III cell line (RRID: CVCL_3475), which represents mammary adenocarcinoma. These cells were engrafted into the vertebrae of the cervical spine. A comprehensive inquiry encompassing behavioral assessments, histological evaluations, and microangiographic analyses conducted after the aforementioned cellular transplantation was subsequently pursued. Results: The incidence of cervical paralysis was 61.1%. Notably, the evolution of paralysis was unfurled by two distinctive temporal phases within its natural history. A meticulous histological examination facilitated delineation of the tumor's posterior expansion within the spinal canal. Simultaneously, the tumor exhibited anterior and lateral encroachment on the spinal cord, inducing compression from all sides. Augmented by microangiographic investigations, conspicuous attenuation of stained blood vessels within the affected anterior horn and funiculus of the spinal cord was observed. Discussion and conclusion: The pathological advancement of paralysis stemming from metastatic cervical spinal tumor is now apprehended to unfurl through a biphasic phase. The initial phase is characterized by gradual unfurling spanning several days, juxtaposed against the second phase marked by swift and accelerated progression.
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spelling doaj-art-e9a277a1aa6a46b483fefcfa48e8d3412024-12-15T06:18:30ZengElsevierBrain and Spine2772-52942024-01-014102842Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental studyShunsuke Sato0Masahito Takahashi1Kazuhiko Satomi2Hideaki Ohne3Takumi Takeuchi4Atsushi Hasegawa5Shoichi Ichimura6Naobumi Hosogane7Department of Orthopaedic Surgery, Kyorin University, Tokyo, JapanDepartment of Orthopaedic Surgery, Kyorin University, Tokyo, Japan; Corresponding author. Department of Orthopaedic Surgery, Kyorin University, 6-20-2 Shinkawa, Mitaka City, Tokyo, 181-8611, Japan.Orthopaedic Surgery, Mitaka Hospital, Tokyo, JapanDepartment of Orthopaedic Surgery, Kyorin University, Tokyo, JapanDepartment of Orthopaedic Surgery, Kyorin University, Tokyo, JapanDepartment of Orthopaedic Surgery, Kyorin University, Tokyo, JapanOrthopaedic Surgery, Kyorin University Suginami Hospital, Tokyo, JapanDepartment of Orthopaedic Surgery, Kyorin University, Tokyo, JapanIntroduction: Despite the relatively low prevalence of metastatic cervical spinal tumor, these entities give rise to more profound complications than thoracic and lumbar spinal tumor. However, it is regrettable that experimental investigation has thus far shown a dearth of attention to metastatic cervical spinal tumor. Research question: What is the conceptualization and realization of quadriparesis resulting from metastatic cervical spinal tumor? Material and methods: Using Fischer 344 rats as the experimental cohort, this study orchestrated the engraftment of tumor cells procured from the 13762 MAT B III cell line (RRID: CVCL_3475), which represents mammary adenocarcinoma. These cells were engrafted into the vertebrae of the cervical spine. A comprehensive inquiry encompassing behavioral assessments, histological evaluations, and microangiographic analyses conducted after the aforementioned cellular transplantation was subsequently pursued. Results: The incidence of cervical paralysis was 61.1%. Notably, the evolution of paralysis was unfurled by two distinctive temporal phases within its natural history. A meticulous histological examination facilitated delineation of the tumor's posterior expansion within the spinal canal. Simultaneously, the tumor exhibited anterior and lateral encroachment on the spinal cord, inducing compression from all sides. Augmented by microangiographic investigations, conspicuous attenuation of stained blood vessels within the affected anterior horn and funiculus of the spinal cord was observed. Discussion and conclusion: The pathological advancement of paralysis stemming from metastatic cervical spinal tumor is now apprehended to unfurl through a biphasic phase. The initial phase is characterized by gradual unfurling spanning several days, juxtaposed against the second phase marked by swift and accelerated progression.http://www.sciencedirect.com/science/article/pii/S2772529424000985Cervical spineExperimental studyMetastatic spinal tumorParalysisEpidural tumor
spellingShingle Shunsuke Sato
Masahito Takahashi
Kazuhiko Satomi
Hideaki Ohne
Takumi Takeuchi
Atsushi Hasegawa
Shoichi Ichimura
Naobumi Hosogane
Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental study
Brain and Spine
Cervical spine
Experimental study
Metastatic spinal tumor
Paralysis
Epidural tumor
title Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental study
title_full Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental study
title_fullStr Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental study
title_full_unstemmed Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental study
title_short Unveiling the natural history of paralysis in metastatic cervical spinal tumor: An experimental study
title_sort unveiling the natural history of paralysis in metastatic cervical spinal tumor an experimental study
topic Cervical spine
Experimental study
Metastatic spinal tumor
Paralysis
Epidural tumor
url http://www.sciencedirect.com/science/article/pii/S2772529424000985
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