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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

Although rare, several types of tumour can start in the spinal cord. The most common types are:

  • Astrocytomas
  • Ependymomas
  • Meningiomas
  • Nerve-sheath tumours, such as schwannomas.
  • Sarcoma

These tumours usually cause problems by pressing on the nerves that run from the brain down the middle of the back to different areas of the body.

More Information

Symptoms of spinal cord tumours depend on their position.

Symptoms caused by a tumour pressing on nerves in the spine and can present as: -

  • Back or neck pain, and numbness
  • Tingling or weakness in the arms or legs
  • Clumsiness and difficulty walking.
  • Lower spine tumours may cause incontinence (loss of bladder and bowel control)

Your age, general health, type, size and position of a tumour will determine treatment. Options may include: -

  • Surgery to remove a tumour
  • Radiotherapy if surgery is not possible or as part of your post-surgery treatment
    Anti-cancer drugs such as chemotherapy or targeted (biological) therapies
  • Steroids may be used to help control any symptoms

Your doctors need to find out as much as possible about the type, position and size of a tumour, so they can plan the best treatment for you. You may have a number of different tests.

  • MRI scan - This scan uses magnetism to build up a detailed picture of areas of your body. You may be given an injection of dye, into a vein, to improve the images from the scan. This test is painless and will take about 30 minutes.
  • CT scan - A CT (computerised tomography) scan uses x-rays to build a three-dimensional (3D) picture of the inside of the body. You may be given either a drink or injection of dye. This is to make certain areas of the body show up more clearly. This scan takes about 30 minutes and is painless.

Inherited conditions such as von Hippel-Lindau syndrome and neurofibromatosis have been linked to a small number of cases. But the general cause of these tumours is unknown and research is being done to help our understanding.

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