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. 2017 Dec 12:3:17094.
doi: 10.1038/s41394-017-0016-9. eCollection 2017.

Managing bowel and bladder impairments in sacral chordoma patients: a case-based approach

Sasha E Knowlton  1 , Cody Andrews  1 , Corey Bindler  1 , Lisa M Ruppert  1   2
Affiliations

Managing bowel and bladder impairments in sacral chordoma patients: a case-based approach

Sasha E Knowlton et al. Spinal Cord Ser Cases. .

Abstract

Introduction: Chordomas are primary bone tumors that occur in the axial spine and most commonly in the sacrum. Because of their location, chordomas can affect bowel and bladder continence resulting in either an upper or a lower motor neuron functional pattern.

Case presentation: We present two cases describing chordoma's impact on bowel and bladder function and the management plan used for improvement.

Discussion: The accurate identification of an upper or lower motor neuron pattern in the setting of chordoma aims to significantly improve management of bowel and bladder impairment.

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Conflict of interest statement

Compliance with ethical standardsThe authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
MRI of Patient 1 at time of chordoma diagnosis. a demonstrates a sagittal T1-weighted image of a sacral chordoma for the patient in Case 1. b demonstrates a sagittal post-contrast T1-weighted image of the sacral chordoma at the same time point
Fig. 2
Fig. 2
MRI of Patient 2 at time of chordoma diagnosis. a demonstrates a sagittal T2-weighted image of the sacral chordoma for the patient in Case 2 at time of diagnosis. b demonstrates an axial T2-weighted image of the sacral chordoma at the same time point
Fig. 3
Fig. 3
MRI of Patient 2 six years after treatment with proton beam radiation. a demonstrates a sagittal T2-weighted image of the sacral chordoma for the patient in Case 2 1-month prior to physiatry presentation and b demonstrates an axial T2-weighted image of the sacral chordoma at the same time point
See this image and copyright information in PMC

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