Spinal cord compression (non-traumatic): Difference between revisions
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==Background== | ==Background== | ||
*Most often from cancer | |||
==Diagnosis== | ==Diagnosis== | ||
MRI | *MRI is study of choice | ||
**If unavailable consider CT myelography | |||
==Treatment== | ==Treatment== | ||
#Consult | #Consult neurosurgery and/or rad onc | ||
#Corticosteroid | #Corticosteroid therapy | ||
## | ##Dexamethasone (4 to 100 mg) | ||
##Consider emergent radiation, surgical intervention, and/or chemo therapy | ##Consider emergent radiation, surgical intervention, and/or chemo therapy | ||
==Disposition== | ==Disposition== | ||
Admit | *Admit | ||
==See Also== | ==See Also== | ||
Revision as of 20:25, 12 September 2011
Background
- Most often from cancer
Diagnosis
- MRI is study of choice
- If unavailable consider CT myelography
Treatment
- Consult neurosurgery and/or rad onc
- Corticosteroid therapy
- Dexamethasone (4 to 100 mg)
- Consider emergent radiation, surgical intervention, and/or chemo therapy
Disposition
- Admit
See Also
Source
DONALDSON 9/07 (Adapted from Lampe, Hockberger, Brower, and Mistry)