Optimal management of malignant epidural spinal cord compression

Hai Sun, Andrew N. Nemecek

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations

Abstract

Malignant epidural spinal cord compression (MESCC) is a common neurologic complication of cancer. MESCC is a medical emergency that needs rapid diagnosis and treatment to prevent undergo emergent evaluation including magnetic resonance imaging of the entire spine. If MESCC is diagnosed, corticosteroids should be administered. Simultaneously, spine surgery and oncology teams should be immediately consulted. If indicated, patients should undergo maximal tumor resection and stabilization, followed by postoperative radiotherapy. Emerging treatment options such as stereotactic radiosurgery and vertebroplasty may be able to provide some symptomatic relief for patients who are not surgical candidates.

Original languageEnglish (US)
Pages (from-to)537-551
Number of pages15
JournalHematology/Oncology Clinics of North America
Volume24
Issue number3
DOIs
StatePublished - Jun 2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Hematology
  • Oncology

Keywords

  • Epidural
  • Malignant
  • Management
  • Neoplasm
  • Spinal cord compression

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