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[2](https://www.msdmanuals.com/ru/home/%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%B3%D0%BE%D0%BB%D0%BE%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0-%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0)[3](https://cmrt.ru/zabolevaniya/onkologicheskie/obrazovaniya-spinnogo-mozga/)[8](https://ProBolezny.ru/opuhol-spinnogo-mozga/). \n\n**По происхождению** опухоли делятся на [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/): \n* **Первичные** — развиваются из клеток спинного мозга, его оболочек или корешков [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/)[8](https://ProBolezny.ru/opuhol-spinnogo-mozga/). \n* **Вторичные (метастатические)** — метастазы опухолей, возникших в других частях тела [2](https://www.msdmanuals.com/ru/home/%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%B3%D0%BE%D0%BB%D0%BE%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0-%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0)[8](https://ProBolezny.ru/opuhol-spinnogo-mozga/). \n\n**По расположению** выделяют два вида опухолей [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/): \n* **Интрамедуллярные** — возникают в самом веществе спинного мозга [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/). \n* **Экстрамедуллярные** — развитие начинается вне спинного мозга, в окружающих структурах [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/).\n\n\n\n## Причины\n**Истинные причины опухолевого роста в области спинного мозга не определены** [6](https://www.oncology-centr.ru/about/news/glavnyy-onkolog-sm-klinika-ob-opukholyakh-spinnogo-mozga/). Выделяют факторы риска, которые могут повышать вероятность опухолевого роста, но однозначно не приводят к образованию патологии [6](https://www.oncology-centr.ru/about/news/glavnyy-onkolog-sm-klinika-ob-opukholyakh-spinnogo-mozga/). Некоторые из них: \n* наследственная предрасположенность [6](https://www.oncology-centr.ru/about/news/glavnyy-onkolog-sm-klinika-ob-opukholyakh-spinnogo-mozga/)[7](https://celitel05.ru/wiki/nervnye-bolezni/opuholi-spinnogo-mozga/); \n* воздействие веществ с канцерогенными эффектами (химические красители, продукты переработки нефти) [6](https://www.oncology-centr.ru/about/news/glavnyy-onkolog-sm-klinika-ob-opukholyakh-spinnogo-mozga/); \n* неблагоприятные экологические факторы (химические загрязнения, радиационное воздействие) [6](https://www.oncology-centr.ru/about/news/glavnyy-onkolog-sm-klinika-ob-opukholyakh-spinnogo-mozga/)[7](https://celitel05.ru/wiki/nervnye-bolezni/opuholi-spinnogo-mozga/).\n\n## Симптомы\n**Признаки опухоли спинного мозга зависят от её типа, размера, расположения и особенностей роста** [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/). Некоторые симптомы: \n* боль в спине, усиливающаяся ночью [2](https://www.msdmanuals.com/ru/home/%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%B3%D0%BE%D0%BB%D0%BE%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0-%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0); \n* уменьшение чувствительности, прогрессирующая слабость или паралич в областях, иннервируемых частями спинного мозга, расположенными ниже сдавления [2](https://www.msdmanuals.com/ru/home/%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%B3%D0%BE%D0%BB%D0%BE%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0-%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0); \n* потеря способности управлять работой мочевого пузыря или кишечника [2](https://www.msdmanuals.com/ru/home/%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%B3%D0%BE%D0%BB%D0%BE%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0-%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0). \n\n**Внешне определить опухоли спинного мозга невозможно** — они расположены глубоко в области спинномозгового канала [6](https://www.oncology-centr.ru/about/news/glavnyy-onkolog-sm-klinika-ob-opukholyakh-spinnogo-mozga/).\n\n## Диагностика\n**Для точной постановки диагноза** назначают визуализацию внутренних структур [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/). Для этого назначают рентгенографию, КТ или МРТ, в том числе с контрастом для оценки кровоснабжения образования [4](https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/). \n\n**Для подтверждения диагноза** проводят биопсию — гистологическое исследование образца ткани под микроскопом [10](https://fnkc-fmba.ru/zabolevaniya/opukhol-spinnogo-mozga/).\n\n## Лечение\n**Лечение опухолей спинного мозга** может включать: \n* **Хирургическое удаление** — метод выбора для опухолей, которые могут быть удалены с низким риском развития осложнений [10](https://fnkc-fmba.ru/zabolevaniya/opukhol-spinnogo-mozga/). \n* **Комбинированное лечение** — рассматривается, когда опухоль не может быть удалена целиком, тогда за операцией следует лучевая терапия или химиотерапия [10](https://fnkc-fmba.ru/zabolevaniya/opukhol-spinnogo-mozga/). \n\n**В некоторых случаях** опухоль может быть обнаружена ещё до развития симптомов при обследовании в связи с другим заболеванием — в этом случае врач может рекомендовать регулярное наблюдение с контролем роста и распространения [10](https://fnkc-fmba.ru/zabolevaniya/opukhol-spinnogo-mozga/).","linksData":[{"sourceId":1,"url":"https://volgograd.sovamed.ru/zabolevaniya/opukhol-spinnogo-mozga/","shownUrl":"https://volgograd.sovamed.ru/zabolevaniya/opukhol-spinnogo-mozga/","title":"Опухоль спинного мозга: причины, симптомы и лечение","shortUrl":"volgograd.sovamed.ru","isTranslated":false,"description":"","greenUrl":"volgograd.sovamed.ru"},{"sourceId":2,"url":"https://www.msdmanuals.com/ru/home/%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%B3%D0%BE%D0%BB%D0%BE%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0-%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0","shownUrl":"https://www.msdmanuals.com/ru/home/%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F-%D0%B3%D0%BE%D0%BB%D0%BE%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0-%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D0%BD%D0%B5%D1%80%D0%B2%D0%BD%D0%BE%D0%B9-%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D1%8B/%D0%BE%D0%BF%D1%83%D1%85%D0%BE%D0%BB%D0%B8-%D1%81%D0%BF%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BC%D0%BE%D0%B7%D0%B3%D0%B0","title":"Опухоли спинного мозга - Заболевания головного и спинного мозга и нервной системы - Справочник MSD Версия для потребителей","shortUrl":"msdmanuals.com","isTranslated":false,"description":"","greenUrl":"msdmanuals.com"},{"sourceId":3,"url":"https://cmrt.ru/zabolevaniya/onkologicheskie/obrazovaniya-spinnogo-mozga/","shownUrl":"https://cmrt.ru/zabolevaniya/onkologicheskie/obrazovaniya-spinnogo-mozga/","title":"Образования спинного мозга, причины, симптомы и лечение | Онкологические заболевания","shortUrl":"cmrt.ru","isTranslated":false,"description":"","greenUrl":"cmrt.ru"},{"sourceId":4,"url":"https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/","shownUrl":"https://centr-hirurgii.ru/surgery/neyrokhirurgiya/opukholi-spinnogo-mozga/","title":"Опухоли спинного мозга: симптомы, признаки и методы лечения опухоли позвоночника в Москве в Центре Хирургии «СМ-Клиника»","shortUrl":"centr-hirurgii.ru","isTranslated":false,"description":"","greenUrl":"centr-hirurgii.ru"},{"sourceId":5,"url":"https://volynka.ru/Diseases/Details/22","shownUrl":"https://volynka.ru/Diseases/Details/22","title":"Опухоли позвоночника и спинного мозга - диагностика и лечение в Москве. 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