21. National Cancer Institute - Surgery Helps Relieve Spinal Cord Compression Key Words spinal cord compression, radiation therapy, lung cancer, spinal cord compression occurs in 10 to 20 percent of all cancer patients, http://www.cancer.gov/clinicaltrials/results/spinal-cord-compression0603

var bSearchBoxBool=false; Clinical Trial Results Summaries of Newsworthy Clinical Trial Results Posted: Updated: Page Options Print This Page E-Mail This Document Search by Cancer Type Breast Cancer Lung Cancer Prostate Cancer More Results Search Results Quick Links Director's Corner Updates from the Director Dictionary of Cancer Terms Cancer-related terms NCI Drug Dictionary Definitions, names, and links Funding Opportunities Research and training NCI Publications Order/download free booklets Advisory Boards and Groups Information, meetings, reports NIH Calendar of Events Scientific meetings NCI Highlights Radiation Cuts Risk of Relapse in Prostate Cancer Breast Cancer Option: Anastrozole After Tamoxifen Recommendations to Revamp NCI Clinical Trials Past Highlights Related Pages Search for Clinical Trials Supportive Care Trial Results Provides links to clinical trial results about supportive care (care given to improve a patient's quality of life). Highlights from ASCO 2003 A collection of links to material summarizing some of the important clinical trial results announced at the 2003 annual meeting of the American Society of Clinical Oncology (ASCO). Coping with Cancer Managing side effects and complications caused by cancer and its treatment.

22. Coed Compression Coed Compression http://tmsyn.an.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

23. EMedicine - Neoplasms, Spinal Cord : Article By J Stephen Huff, MD Pathophysiology spinal cord compression usually follows hematogenous Gilbert MR, Minhas TA Epidural spinal cord compression and neoplastic meningitis. http://www.emedicine.com/emerg/topic337.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Emergency Medicine Hematology And Oncology Neoplasms, Spinal Cord Last Updated: April 6, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: J Stephen Huff, MD , Associate Professor of Emergency Medicine and Neurology, Department of Emergency Medicine, University of Virginia Health System J Stephen Huff, MD, is a member of the following medical societies: American Academy of Emergency Medicine American Academy of Neurology American College of Emergency Physicians , and Society for Academic Emergency Medicine Editor(s): Edmond Hooker, MD , Assistant Clinical Professor, Department of Emergency Medicine, University of Louisville, Wright State University; Francisco Talavera, PharmD, PhD

24. EMedicine - Spinal Cord Infections : Article By Andrew K Chang, MD Other Problems to be Considered. Transverse myelitis Intervertebral disk herniation Intraspinal tumor spinal cord compression http://www.emedicine.com/emerg/topic552.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Emergency Medicine Neurology Spinal Cord Infections Last Updated: March 8, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: epidural abscesses, infection in the epidural space, meningitis, infection of the meninges, subdural abscesses, infections of the subdural space, intramedullary abscesses, infections within the spinal cord, dermal sinus tract infection AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Andrew K Chang, MD , Assistant Professor, Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore Medical Center Coauthor(s): Raul A Rodriguez, MD , Vice-Chair, Department of Emergency Medicine, Potomac Hospital Andrew K Chang, MD, is a member of the following medical societies: American Academy of Emergency Medicine American Academy of Neurology American College of Emergency Physicians , and Society for Academic Emergency Medicine Editor(s): Daniel J Dire, MD, FACEP, FAAP, FAAEM

25. Zometa International - Facts About Spinal Cord Compression Symptoms of spinal cord compression include back pain, weakness, spinal cord compression is diagnosed in more than 30% of all patients with metastatic http://www.zometa.com/hcp/patient/facts/facts.jsp

26. Epidural Metastases/Spinal Cord Compression Signs of spinal cord compression include motor, sensory, and autonomic bladder and More than 70 percent of patients with spinal cord compression have an http://www.stat.washington.edu/TALARIA/LS2.3.2.html

2.3.2 Epidural Metastases/Spinal Cord Compression Epidural metastasis is the most ominous complication of bone metastasis to the vertebral spine and is a medical emergency. Failure to diagnose and treat this condition will lead to permanent necrologic deficits due to spinal cord dysfunction. Early diagnosis, before overt necrologic deficits, should result in improved outcome (Byrne, 1992) . Epidural metastasis is a common complication in patients with breast, prostate, or lung cancer; multiple myeloma; renal cell carcinoma; or melanoma. The tumor enters the-epidural space by contiguous spread from adjacent vertebral metastasis in the vast majority of cases (Rodriguez and Dinapoli, 1980) . Th.html# remaining cases arise from the direct invasion of retroperitoneal tumor or tumor located in the posterior thorax through adjacent intervertebral foramina or, rarely, from bloodborne seeding of the epidural space. The pain is usually midline, but patients whose tumor involves nerve roots have sharp or shooting pain in a radicular distribution. Untreated, the pain slowly intensifies with a mean duration of 7 weeks from the onset of pain to the onset of necrologic deficits due to spinal cord compression (Gilbert, Kim, and Posner, 1978)

27. Acute Spinal Cord Compression acute spinal cord compression. Signs and symptoms of cord compression show progression within 24 hours or less; pain; weakness; autonomic dysfunction http://chorus.rad.mcw.edu/to-go/00790.html

acute spinal cord compression Signs and symptoms of cord compression show progression within 24 hours or less: pain weakness autonomic dysfunction sensory loss ataxia Diagnostic considerations: Primary or secondary malignancy of epidural space or vertebrae Trauma Inflammatory process Osteoarthritis REF: MacNeil BJ, Abrams HL. Brigham and Women's Hospital Handbook of Diagnostic Imaging. Chapter 35. Home Nervous system

28. Spinal Cord Compression spinal cord compression. DESCRIPTION Impingement on the spinal cord, usually by an extramedullary neoplasm. Characteristics local back pain, http://www.5mcc.com/Assets/SUMMARY/TP0862.html

Spinal cord compression DESCRIPTION: Impingement on the spinal cord, usually by an extramedullary neoplasm. Characteristics - local back pain, hyperreflexia, Babinski's sign, weakness of lower extremities, sensory loss, loss of sphincter control. Back pain and weakness may last hours to days, but total loss of function control to the site of compression may take only minutes. Usual course - acute onset; chronic onset; often progressive primary disease. CAUSES: carcinoma of the lung breast carcinoma carcinoma of the prostate lymphoma neural malignancy herniated disk extradural abscess spinal tuberculosis rheumatoid arthritis cervical spondylosis ICD-9-CM: 336.9 unspecified disease of spinal cord Author(s): Mark R. Dambro, MD

29. UpToDate Treatment And Prognosis Of Epidural Spinal Cord Compression, Including INTRODUCTION — Neoplastic epidural spinal cord compression (ESCC) is a common complication of cancer that causes pain and sometimes irreversible loss of http://patients.uptodate.com/topic.asp?file=genl_onc/5314

30. UpToDate Spinal Cord Tumors Metastatic lesions can cause spinal cord compression either by intradural invasion or, more commonly, by epidural growth that results in extrinsic spinal http://patients.uptodate.com/topic.asp?file=brain_ca/8925&title=Fecal incontinen

31. Dr. Koop - Spinal Cord Trauma spinal cord compression or injury; Compression of spinal cord. Causes, incidence, and risk factors. Spinal cord trauma can be caused by any number of http://www.drkoop.com/ency/93/001066.html

Home Health Reference Spinal cord trauma Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Spinal cord trauma Injury Disease Nutrition Poison ... Prevention Spinal cord trauma Definition: Spinal cord trauma is damage to the spinal cord that results from direct injury to the cord itself, or from indirect injury from damage to the bones, soft tissues, and blood vessels surrounding the spinal cord. Alternative Names: Spinal cord compression or injury; Compression of spinal cord Causes, incidence, and risk factors: Spinal cord trauma can be caused by any number of injuries to the spine. They can result from motor vehicle accidents, falls, sports injuries (particularly diving into shallow water), industrial accidents, gunshot wounds, assault, and others. A seemingly minor injury can cause spinal cord trauma if the spine is weakened (such as from rheumatoid arthritis or osteoporosis ) or if the spinal canal protecting the spinal cord has become too narrow (spinal stenosis) due to the normal aging process. Direct injury, such as cuts, can occur to the spinal cord, particularly if the bones or the discs have been damaged. Fragments of bone (from fractured vertebrae, for example) or fragments of metal (such as from a traffic accident) can cut or damage the spinal cord.

32. ► Spinal Cord Trauma A medical encycopedia article on the topic Spinal cord trauma. spinal cord compression; Spinal cord injury; Compression of spinal cord http://www.umm.edu/ency/article/001066.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Z Maryland Medical Center Programs Department of Orthopaedics Home Medical Reference Encyclopedia (English) Toggle English Spanish Spinal cord trauma Overview Symptoms Treatment Prevention Definition: Spinal cord trauma is damage to the spinal cord that results from direct injury to the spinal cord itself or indirectly by damage to the bones and soft tissues and vessels surrounding the spinal cord. Alternative Names: Spinal cord compression; Spinal cord injury; Compression of spinal cord Causes, incidence, and risk factors: Damage to the spinal cord affects all nervous function that is controlled at and below the level of the injury, including muscle control (strength) and sensation. More than 30 bones make up the spine. These bones (vertebrae) and the cushions between the vertebrae (discs) allow the back to bend while protecting the spinal cord from injury. Spinal cord trauma is caused by motor vehicle accidents, falls, sports injuries (particularly diving into shallow water), industrial accidents, gunshot wounds, assault, and other injuries. A seemingly minor injury can cause spinal cord trauma if the spine is weakened (such as from rheumatoid arthritis or osteoporosis Direct injury such as cuts can occur to the spinal cord, particularly if the bones or the discs are damaged. Fragments of bone (from fractured vertebrae for example) or fragments of metal (such as from a traffic accident) can transect (cut) or damage the spinal cord. Direct damage can also occur if the spinal cord is pulled, pressed sideways, or compressed. This may occur if the head, neck, or back are twisted abnormally during an accident or injury.

33. Surgery And Radiation Improves Outcome For Patients With Spinal Cord Compression of direct surgery to decompress the area of spinal cord compression. A total of 101 patients diagnosed with spinal cord compression caused by metastatic http://patient.cancerconsultants.com/news.aspx?id=34670

34. Treating Spinal Cord Compression Resulting From Secondary Bone Cancer : CancerBA Information about treatments for bones weakened by secondary bone cancer. http://www.cancerbacup.org.uk/Cancertype/Bonesecondary/Treatment/Spinalcordcompr

@import "/stylesheet-site.css"; Search Treating spinal cord compression resulting from secondary bone cancer A common place for a secondary bone cancer to occur is the spine. This can cause back pain and make the spine weaker. Radiotherapy is commonly used to treat secondary cancer in the spine, but occasionally surgery may be used to relieve pain and strengthen the spine. High doses of steroids are also often used. These can help to reduce swelling, that may be pressing on the nerves of the spinal cord. Steroids will usually only be used for a short period of time. Content last reviewed: 01 January 2005 Page last modified: 15 August 2005 Order publications Ways to donate You are in: HOME CANCER TYPE BONE, SECONDARY ABOUT US ... Organisations See information on... Primary bone cancer About cancer Cancer type Treatments ... PRIVACY STATEMENT produced by jamkit registered charity number 1019719

35. Spinal Cord Compression: BC Cancer Agency Telephone Consultation Protocols spinal cord compression Print Wizard Print this Page SpinalCordCompression.pdf Print Wizard Print this Page http://www.bccancer.bc.ca/HPI/Nursing/References/TelConsultProtocols/SpinalCordC

Agency Links: Home Contact Us Legal Privacy ... Telephone Consultation Protocols Spinal Cord Compression References / Guidelines Telephone Consultation Protocols Anemia Anorexia ... Sore Mouth, Stomatitis Spinal Cord Compression Superior Vena Cava Obstruction Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Thrombocytopenia Tumor Lysis Syndrome ... Xerostomia Telephone Consultation Protocols - Spinal Cord Compression Print Wizard Print this Page Print Wizard Print this Page The BC Cancer Agency is a part of the Provincial Health Services Authority If you notice a problem with this page, please report it via the Bug Report Form . Thank you. Unofficial document if printed . Please refer to the following web address for up-to-date information:

36. Acute Spinal Cord Compression - Patient UK Acute spinal cord compression Patient UK. A directory of UK health, disease, illness and related medical websites that provide patient information. http://www.patient.co.uk/showdoc/40000741/

PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Acute spinal cord compression Acute compression of the spinal cord is when symptoms occur within 24 hours. As the spinal cord has very limited powers of regeneration, decompression is a matter of urgency. The following anatomical considerations are relevant: The spinal cord is shorter than spinal canal The cord ends between the L1 and L2 vertebrae (or L2-L3 in young children) Below the termination of the cord the nerve roots form the cauda equina In the cervical spine segmental levels of cord roughly correspond to bony landmarks Below this level there is increasing disparity between levels Spinal pathology below L1 produces only root signs Comparing the cross-sectional area of the cord and the vertebral column, there is relatively less room in the cervical region than lower down. Aetiology Trauma - vertebral body fracture or facet joint dislocation Tumours - benign or malignant This can include tumours of bone, primary or metastatic, lymphomas or even neurofibromata or extramedullary haemopoiesis

37. Spinal Cord Compression Definition - Medical Dictionary Definitions Of Popular M Online Medical Dictionary and glossary with medical definitions. http://www.medterms.com/script/main/art.asp?articlekey=39888

38. Cord Compression spinal cord compression. Key points Early diagnosis and decompression important because prognosis The management of acute spinal cord compression. http://www.aic.cuhk.edu.hk/web8/spinal_cord_compression.htm

All these topics are covered in the Not so BASIC course. Click here for details Spinal cord compression Key points: Early diagnosis and decompression important because prognosis depends primarily on severity of neurological deficit and duration of deficit before decompression. Signs and symptoms are those of a myelopathy but the common feature of "structural" lesions is pain. Spine or root pain in the presence of myelopathic symptoms strongly implies a surgically remediable cause. Trauma - in selected circumstances internal fixation and fusion has a role to play and does impart advantages to the patient, his spine and his rehabilitation. However, neurological outcome is not improved. ( More on traumatic cord injury Inflammatory conditions most important is rheumatoid arthritis. acute cord compression is not common in rheumatoid but there are anecdotal reports of patients collapsing and dying due to gross odontoid subluxation. Usually patients develop symptoms over weeks-months but a few patients develop neurological signs and deteriorate witha progressive myelopathy over a short period of days. A clear history is of paramount importance as widespread joint disease makes accurate clinical examination difficult. vertical subluxation of the odontoid process makes it possible that the patient will develop lower cranial nerve signs most common form of C1/2 dislocations is anterior subluxation of C1 on C2 . Less frequent abnormalities include posterior subluxation, rotational deformities or lateral subluxations

39. Basal Cell Carcinoma (BCC) Causing Spinal Cord Compression The clinical impression of BCC causing spinal cord compression was confirmed by microscopy and magnetic resonance imaging (MRI). http://dermatology.cdlib.org/DOJvol6num1/case_reports/bcc/00-1m.html

DOJ Contents English Basal cell carcinoma (BCC) causing spinal cord compression Benjamin Cohen, Glen Weiss, Hong Yin Dermatology Online Journal 6(1): 12 1. Dermatology and Laser Center, Long Branch, NJ 2. Sackler School of Medicine, NY/American Program, Tel Aviv, ISRAEL 3. Department of Pathology, Monmouth Medical Center, Long Branch, NJ Abstract Basal cell carcinoma (BCC) is the most common cutaneous malignancy affecting populations with light skin, though these tumors rarely cause severe morbidity or mortality. We report an adult male with back pain and leg weakness associated with a neglected, ulcerated lower back tumor of fifteen years duration. The clinical impression of BCC causing spinal cord compression was confirmed by microscopy and magnetic resonance imaging (MRI). Introduction Basal cell carcinoma (BCC) is one of the most common cancers in humans in many countries. In the literature, areas of primary BCC have mostly been the face, scalp, and upper torso.[ Rarely do BCC's cause devastating disfigurement or disability. "High risk" BCC's can be characterized as those of long duration, larger than 2 cm, located in mid face or ear, with aggressive histologic subtype, previously treated, neglected, or previously irradiated.[ Case Report Figure 1 Figure 1. Physical exam revealed a 18cm x 30cm necrotic ulcer with rolled borders and telangiectasia on the back extending from scapula to scapula and from the 1st thoracic vertebra to the 2nd lumbar vertebra.

40. SBMJ | Picture Quiz: Spinal Cord Compression studentBMJ is an international magazine for students interested in medicine, healthcare and science. We cover a broad range of topical issues ranging from http://www.studentbmj.com/issues/03/03/education/58.php

skip navigation Need an article? student BMJ Home Current Issue - Editorials - News ... Subscribe Interactive Article Response International Experience Careers Zone Write For Us Author Guidelines How To Write About Us About student BMJ Posters Contact Us ... Accessibility Out There Links Notice Board Picture Quiz: Spinal cord compression Case history An 82 year old man was admitted to the emergency department with pain in his back. He had a past medical history of hypertension, which was well controlled, and he complained of nocturiahe got up four times a night for the last six months. Figure 1 and Figure 2 The initial physical examination including neurological examination was unremarkable. His full blood count, electrolytes, and liver function tests were normal. A plain x ray of his thoracic spine reveaved a vertebral collapse of T6. Six days after admission, he was unable to move his right leg and was catheterised because of urinary retention. Examination found reduced power in his right leg and decreased reflexes but no sensory deficit. Questions What are the features seen on the magnetic resonance images (figs 1 and 2)?

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