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Epidural Spinal Cord Compression

  • Ronald Kanner

Abstract

Epidural spinal cord compression (ESCC) is a medical emergency that can lead to paraplegia and loss of bowel and bladder function. It is characterized clinically by:
  1. 1.

    Back pain and tenderness

     
  2. 2.

    Radicular pain

     
  3. 3.

    Myelopathy

     
Diagnosis is made by:
  1. 1.

    Clinical history and examination

     
  2. 2.

    Radiographic studies:

     
  3. a.

    Bone films

     
  4. b.

    Bone scan

     
  5. c.

    Myelopathy

     
Emergency treatment is with:
  1. 1.

    Dexamethasone, 100 mg IV

     
  2. 2.

    Emergency radiation therapy

     
  3. 3.

    Possible surgical decompression

     

Keywords

Vertebral Body Cord Compression Epidural Space Bladder Dysfunction Radicular Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Selected Readings

  1. Gilbert RW, Kim J-H, Posner JB: Epidural spinal cord compression from metastatic tumor Diagnosis and treatment. Ann Neurol 3: 40–51, 1978.PubMedCrossRefGoogle Scholar
  2. Portenoy RK, Lipton, RB, Foley KM: Back pain in cancer patients: An algorithm for management. Neurology 37: 134–138, 1987.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1987

Authors and Affiliations

  • Ronald Kanner
    • 1
  1. 1.Unified Pain Service, Montefiore Medical Center; Department of NeurologyAlbert Einstein College of MedicineBronxUSA

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