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
Hauptverfasser: Brenne, E, Kaasa, S, Falkmer, U, Skaanes, K O, Husby, O S, Myhr, G, Nilsen, G, Bovim, E R, Telhaug, R
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container_end_page 3287
container_issue 22
container_start_page 3283
container_title Tidsskrift for den Norske Lægeforening
container_volume 119
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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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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