Medullary compression in metastatic cancer
Cancer patients with spinal cord compression may develop irreversible neurological deficit. The clinical picture implies back pain and subsequent neurological deficit. There is always a danger of rapid deterioration of the patient's condition. If spinal cord compression is suspected, the case i...
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Veröffentlicht in: | Tidsskrift for den Norske Lægeforening 1999-09, Vol.119 (22), p.3283-3287 |
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creator | Brenne, E Kaasa, S Falkmer, U Skaanes, K O Husby, O S Myhr, G Nilsen, G Bovim, E R Telhaug, R |
description | Cancer patients with spinal cord compression may develop irreversible neurological deficit. The clinical picture implies back pain and subsequent neurological deficit. There is always a danger of rapid deterioration of the patient's condition. If spinal cord compression is suspected, the case is an emergency. MRI should be preferred in the diagnostic work-up, and corticosteroids be administered promptly. Radiation therapy or surgical treatment should be started as soon as possible. Patient outcome is related to the degree of neurological deficit at the start of treatment. |
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The clinical picture implies back pain and subsequent neurological deficit. There is always a danger of rapid deterioration of the patient's condition. If spinal cord compression is suspected, the case is an emergency. MRI should be preferred in the diagnostic work-up, and corticosteroids be administered promptly. Radiation therapy or surgical treatment should be started as soon as possible. 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The clinical picture implies back pain and subsequent neurological deficit. There is always a danger of rapid deterioration of the patient's condition. If spinal cord compression is suspected, the case is an emergency. MRI should be preferred in the diagnostic work-up, and corticosteroids be administered promptly. Radiation therapy or surgical treatment should be started as soon as possible. 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source | MEDLINE; Norart Open Access |
subjects | Combined Modality Therapy Diagnosis, Differential Glucocorticoids - administration & dosage Humans Laminectomy Magnetic Resonance Imaging Medulla Oblongata - pathology Neoplasm Metastasis Prognosis Radiotherapy Dosage Spinal Cord Compression - etiology Spinal Cord Compression - pathology Spinal Cord Compression - therapy |
title | Medullary compression in metastatic cancer |
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