Spinal cord compression (non-traumatic)

Background

  • Most often from cancer

Diagnosis

  • MRI is study of choice
    • If unavailable consider CT myelography

Treatment

  1. Consult neurosurgery and/or rad onc
  2. Corticosteroid therapy
    1. Extremely controversial and perhaps no longer indicated in nontraumatic compression[1][2]
    2. Consider emergent radiation, surgical intervention, and/or chemo therapy

Disposition

  • Admit

See Also

References

  1. ↑ Coleman WP, et al: A critical appraisal of the reporting of the National Acute Spinal Cord Injury Studies (II and III) of methylprednisolone in acute spinal cord injury. J Spinal Disord 2000; 13:185.
  2. ↑ Hurlbert RJ: Methylprednisolone for acute spinal cord injury: An inappropriate standard of care. J Neurosurg 2000; 93(1 Suppl):1
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