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Extradural Spinal Metastases — A Retrospective Study of 197 Patients

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CNS Metastases Neurosurgery in the Aged

Part of the book series: Advances in Neurosurgery ((NEURO,volume 12))

Abstract

Spinal metastases from malignant tumors with compression of the spinal cord or cauda equina are common clinical and neurosurgical problems. However, it is difficult to ascertain how often malignant tumors give rise to metastatic mass lesions within the spinal canal (1, 10). The clinical picture is characterized by a relatively short history of pain rapidly followed by progressive neurological signs. In these cases a decompressive laminectomy followed by radiotherapy is the most effective treatment (2, 5, 9).

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References

  1. Barron, K.D., Hirano, A., Araki, S.: Experiences with metastatic neoplasms involving the spinal cord. Neurology 9, 91–106 (1959).

    PubMed  CAS  Google Scholar 

  2. Black, P.: Spinal metastasis: Current status and recommended guidelines for management. Neurosurgery 5, 726–746 (1979).

    Article  PubMed  CAS  Google Scholar 

  3. Chade, H.O.: Metastatic tumors of the spine and spinal cord. In: Vinken, P.J., Bruyn, G.W. (eds.): Handbook of Clinical Neurology, Vol. 20, pp. 415–434. Amsterdam: North Holland Publishing Co., New York, American Elsevier Co., Inc. (1976).

    Google Scholar 

  4. Cobb, C.A., Leavens, M.E., Eckles, N.: Indications for nonoper-ative treatment of spinal cord compression due to breast cancer. J. Neurosurg. 47, 653–658 (1977).

    Article  PubMed  Google Scholar 

  5. Dunn, R.C. Jr., Kelly, W.A., Wohns, R.N.W.: Spinal epidural neo-plasia. A 15-year review of the results of surgical therapy. J. Neurosurg. 52, 47–51 (1980).

    Article  PubMed  Google Scholar 

  6. Gilbert, R.W., Kim, J.H., Posner, J.B.: Epidural spinal cord compression from metastatic tumor: diagnosis and treatment. Ann. Neurol. 3, 40–51 (1978).

    Article  PubMed  CAS  Google Scholar 

  7. Livingston, K.E., Perrin, R.G.: The neurosurgical management of spinal métastases causing cord and cauda equina compression. J. Neurosurg. 49, 839–843 (1978).

    Article  PubMed  CAS  Google Scholar 

  8. Schirmer, M.: Spinale Notfälle. Perimed Verlag, Erlangen 1983.

    Google Scholar 

  9. Smith, R.: An evaluation of surgical treatment of spinal cord compression due to metastatic carcinoma. J. Neurol. Neurosurg. Psychiatry 28, 152–158 (1965).

    Article  PubMed  CAS  Google Scholar 

  10. Torma, T.: Malignant tumors of the spine and spinal extradural space. Acta Surg. Scand., Suppl. 225, 1–76 (1957).

    CAS  Google Scholar 

  11. White, W.A., Patterson, R.H. Jr., Bergland, R.M.: Role of surgery in the treatment of spinal cord compression by metastatic neoplasm. Cancer 27, 558–561 (1971).

    Article  PubMed  CAS  Google Scholar 

  12. Young, R.F., Post, E.M., King, G.A.: Treatment of spinal epi-dural metastases. Randomized prospective comparison of laminectomy and radiotherapy. J. Neurosurg. 53, 741–748 (1980).

    Article  PubMed  CAS  Google Scholar 

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© 1984 Springer-Verlag Berlin Heidelberg

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Klein, H.J., Richter, H.P., Schäfer, M. (1984). Extradural Spinal Metastases — A Retrospective Study of 197 Patients. In: Piotrowski, W., Brock, M., Klinger, M. (eds) CNS Metastases Neurosurgery in the Aged. Advances in Neurosurgery, vol 12. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69360-1_7

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  • DOI: https://doi.org/10.1007/978-3-642-69360-1_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-12832-8

  • Online ISBN: 978-3-642-69360-1

  • eBook Packages: Springer Book Archive

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