41. Epidural Metastases/Spinal Cord Compression More than 70 percent of patients with spinal cord compression have an abnormal plain radiograph in the region of pain (compression fracture, plastic, http://www.hivpositive.com/f-PainHIV/Pain/LS2.3.2.html

Assessing Pain 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. 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. The 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. Signs of spinal cord compression include motor, sensory, and autonomic bladder and bowel) dysfunction.

42. HealthyNJ--Information For Healthy Living--Spinal Cord Diseases Spinal and Spinal Cord Diseases Once spinal cord compression begins to cause symptoms, the damage usually worsens from minimal to substantial http://www.healthynj.org/dis-con/spinald/main.htm

Additional Information General Description New Jersey Resources Recommended Web Sites Patient Education ... PubMED Search The spinal cord is the main pathway of communication between the brain and the rest of the body. It is a long, fragile, tubelike structure that extends downward from the base of the brain. The cord is protected by the back bones (vertebrae) of the spine (spinal column), which are separated and cushioned by disks made of cartilage. Along the length of the spinal cord, 31 pairs of spinal nerves emerge through spaces between the vertebrae. The spinal nerves connect with nerves throughout the body. Each spinal nerve has two nerve roots (except the first, which has no sensory root). The root in the front, the motor root, transmits impulses from the spinal cord to the muscles. The root in the back, the sensory root, carries sensory information (about touch, position, pain, and temperature) from the body to the spinal cord. The spinal cord is highly organized; nerve pathways with similar functions are grouped together. The motor nerves, which transmit information to muscles and thus stimulate movement, are grouped together, as are the sensory nerves, which transmit sensory information to the brain. The motor and sensory nerves of the spinal cord connect with the motor and sensory roots of the spinal nerves, respectively.

43. OncoLink | The Web's First Cancer Resource spinal cord compression is considered an oncologic emergency that requires prompt intervention. A variety of tumors may cause spinal cord compression. http://www.oncolink.com/oncotips/article.cfm?c=1&s=4&ss=13&id=26

44. OncoLink Ask The Experts—Cancer Symptoms, Cancer Prevention, Cancer Treatme A reader has a question about the causes and treatment of spinal cord compression. http://www.oncolink.com/experts/article.cfm?c=1&s=5&ss=6&id=1062

45. C6-7 Disc Herniation With Spinal Cord Compression - Medical Illustration C67 Disc Herniation with spinal cord compression. http://www.doereport.com/generateexhibit.php?ID=7379

46. Lung Cancer Online: Lung Cancer Complications: Spinal Cord Compression Lung Cancer Online Lung Cancer Complications spinal cord compression. http://www.lungcanceronline.org/effects/spinalcord.html

home effects Spinal Cord Compression Surgery Provides Relief in Treating Spinal Cord Compression (People Living With Cancer) Reports on a study presented at the 2003 ASCO annual meeting that found surgery followed by radiation was more effective than radiation alone in relieving spinal cord compression. Spinal cord compression is a painful and debilitating condition that may occur when cancer spreads to the vertebrae and causes pressure on the spinal cord. [5/03] OncoLink Ask the Experts: Spinal Cord Compression (OncoLink) Describes the major causes and incidence of spinal cord compression. Discusses treatment options. [11/01] Last modified: 10-Jul-2005 Karen Parles, MLS Editor

47. NEJM -- Epidural Lipomatosis Causing Spinal Cord Compression Images in Clinical Medicine from The New England Journal of Medicine Epidural Lipomatosis Causing spinal cord compression. http://content.nejm.org/cgi/content/short/349/15/e14

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Volume 349:e14 October 9, 2003 Number 15 Epidural Lipomatosis Causing Spinal Cord Compression Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings. Full Text PDF Add to Personal Archive Add to Citation Manager ... PubMed Citation View larger version [in this window] [in a new window] A 68-year-old woman with corticosteroid-dependent chronic obstructive pulmonary disease was admitted to the hospital for worsening respiratory symptoms and for new-onset weakness in both legs. Physical examination revealed poor air entry and rales throughout both lung fields, as well as decreased sensation to a pinprick in the right leg, no sensation in the left leg, and paralysis of both legs. A T -weighted sagittal magnetic resonance imaging (MRI) scan of the spine (Panel A) revealed multiple compression fractures of the thoracic and lumbar vertebrae (arrowheads) and spinal epidural lipomatosis (arrows). A T -weighted axial MRI scan (Panel B) Full Text of this Article HOME SEARCH CURRENT ISSUE ... HELP Comments and questions? Please

48. NEJM -- Epidural Lipomatosis Causing Spinal Cord Compression Images in Clinical Medicine from The New England Journal of Medicine Epidural Lipomatosis Causing spinal cord compression. http://content.nejm.org/cgi/content/full/349/15/e14

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Volume 349:e14 October 9, 2003 Number 15 Epidural Lipomatosis Causing Spinal Cord Compression PDF Add to Personal Archive Add to Citation Manager Notify a Friend ... PubMed Citation View larger version [in this window] [in a new window] A 68-year-old woman with corticosteroid-dependent chronic obstructive pulmonary disease was admitted to the hospital for worsening respiratory symptoms and for new-onset weakness in both legs. Physical examination revealed poor air entry and rales throughout both lung fields, as well as decreased sensation to a pinprick in the right leg, no sensation in the left leg, and paralysis of both legs. A T -weighted sagittal magnetic resonance imaging (MRI) scan of the spine (Panel A) revealed multiple compression fractures of the thoracic and lumbar vertebrae (arrowheads) and spinal epidural lipomatosis (arrows). A T -weighted axial MRI scan (Panel B) confirmed the presence of spinal cord compression (arrowhead) secondary to epidural lipomatosis (arrows). The lipomatosis was most pronounced from T4 to T10 (Panel C). Neurosurgical correction of the cord compression was considered, but the patient's severe chronic obstructive pulmonary disease precluded surgery. The patient died shortly thereafter. Spinal epidural lipomatosis can develop spontaneously or as a result of Cushing's disease or long-term corticosteroid use. Localization to and compression of the spinal cord at the thoracic level are typical of this disease. MRI is the diagnostic procedure of choice. The usual treatment is immediate laminectomy with the removal of epidural fat and a decrease in the corticosteroid dose.

49. Journal Of Orthopaedic Surgery: Spinal Cord Compression From Metastatic Hepatoce Full text of the article, spinal cord compression from metastatic hepatocellular carcinoma A report of two cases from Journal of Orthopaedic Surgery, http://www.findarticles.com/p/articles/mi_qa3794/is_199812/ai_n8812162

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles Journal of Orthopaedic Surgery Dec 1998 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Spinal cord compression from metastatic hepatocellular carcinoma: A report of two cases Journal of Orthopaedic Surgery Dec 1998 by A, Razana F, Zairul-Nizam Z Y, Hyzan M A, Razak M Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. ABSTRACT We report on 2 patients from our institution, the National University of Malaysia Hospital (HUKM), who presented with a chronic history of radicular back pain and neurological deficits clinically depicting spinal cord compression. In the first case, this clinical picture was substantiated by radiological evidence whereas in the second, radiological investigations revealed spinal nerve root compression. The aetiology of these conditions was traced to a primary hepatocellular carcinoma. The spinal spread of this tumour and the differences in its presentation in these 2 cases are discussed.

50. Long-term Effects Of Lower Spinal Cord Compression - Medical Illustration Spinal Cord Injury Long-term Effects of Compression. This medical exhibit depicts compression-related death of spinal cord fibers in the region of the http://catalog.nucleusinc.com/generateexhibit.php?ID=1387&ExhibitKeywordsRaw=&TL

51. Spinal Cord Compression - T9-10 Epidural Abscess. - Medical Illustration spinal cord compression T9-10 Epidural Abscess. Dramatic x-ray and illustrated interpretation of an infection in the region of the epidural space and the http://catalog.nucleusinc.com/generateexhibit.php?ID=4931&ExhibitKeywordsRaw=&TL

52. Spinal Cord Trauma Spinal cord trauma is damage to the spinal cord that results from direct injury to the spinal cord compression or injury; Compression of spinal cord http://www.lifespan.org/ADAM/English/HIE/001066.htm

Careers at Lifespan Volunteer your time Other ways to give Lifespan's A - Z Health Information Library 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 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. 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.

53. Spinal Cord Compression A Palliative Care Emergency spinal cord compression (SCC) occurs in five to ten per cent of cancer cases. Patients with lung, breast, or prostate primaries are at the highest risk for http://www.palliative.org/PC/ClinicalInfo/NursesNotes/SpinalCordCompression.html

Clinical Information CLINICAL INFORMATION ASSESSMENT TOOLS PALLIATIVE CARE TIPS JOURNAL WATCH NURSING NOTES ... PUBLICATIONS Nursing Notes Spinal Cord Compression: A Palliative Care Emergency July '98 by Gary E. Frank, B.A., B.Ed., R.N. Palliative Care Nurse Consultant, Edmonton Regional Palliative Care Program Incidence and Course Spinal cord compression (SCC) occurs in five to ten per cent of cancer cases. Patients with lung, breast, or prostate primaries are at the highest risk for this complication. As well, renal cell carcinomas, multiple myelomas, and lymphomas lead to SCC at significant rates. It is important, however, to be aware that SCC can occur with virtually any type of primary. Malignant compression of the spinal cord is usually extrinsic in origin: pressure arises from the epidural space as a result of the extension of adjacent bony or soft tissue lesions. The majority of SCC's occur in the thoracic spine and are caused by extradural tumour extending posteriorly from an involved vertebrae. The epidural space can also be invaded through the intervertebral foramina by paraspinal lesions. This is more likely to occur in cases of lymphoma or neuroblastoma. Less frequently, intradural and intramedullary metastases can cause SCC. Assessment Early detection is extremely important. Signs and symptoms usually present several weeks prior to the onset of neurological crisis. Pain is almost always the first symptom. Yet often the diagnosis is not made until leg weakness or sensory deficits occur possibly weeks after the onset of new pain. Warning signs to watch for are:

54. Spinal Cord Compression - Information & News Medtronic, Inc. has introduced at the American Association of Neurological Surgeons (AANS) meeting in Orlando the latest advancement in the company?s line http://www.news-medical.net/?keyword=Spinal cord compression

55. Are Fasciculations Common In Cervical Spinal Cord Compression? Patient medical question and answer from The Neurology and Neurosurgery Forum. Health topic area and articles about neurology general Topics http://www.medhelp.org/forums/neuro/messages/33409.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Are Fasciculations common in cervical spinal cord compression? Forum: The Neurology and Neurosurgery Forum Topic: Neurology - General Subject: Are Fasciculations common in cervical spinal cord compression? From To Post valin Dear doctor, I am a 41 year old woman. Six months ago, I started having paresthesias in one foot. In three weeks, the paresthesias (sharp and dull) spreaded on all my body . Then my legs felt weaked, fasciculations ran all over my body and my right hand started shaking being clumsy. I had a normal MRI of the brain and abnormal sensory evoked potential. The cervical MRI came back showing an important and severe spinal cord compression due to a simple herniated disc on C5-C6 level. My spinal cord was shaped like a crushed S. After one month, being at home, resting, made my symptoms slowly disappeared and the only symptom left were the fasciculations (but they were less important). I went through surgery three weeks ago and had an anterior discectomy with a graft taken from my illiac crest. After two days, I was able to climb the stairs and do all the normal things at home. But the paresthesias in my foot is back (it always feels like it is frozen, except at night when this symptom goes away) the weakness in my legs came back, on and off. What mainly worries me are the fasciculations that seem more important all over my body. This symptom does'nt seem to improve. And it is a lot worst than before my surgery. I just discovered that fasciculations are more common in MND and I now wonder if one could have such a desease and see symptoms regressing for 4 months? Is it common to feel twitching all over your body (except on my hands and feet and face) for a spinal cord compression in your neck?

56. Bowels Shutting Down With Spinal Cord Compression? Patient medical question and doctor answer from The Neurology and Neurosurgery Forum. Health topic area and articles about neurology general Topics http://www.medhelp.org/forums/neuro/archive/10203.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Forum: The Neurology and Neurosurgery Forum Topic: Neurology - General Subject: Bowels Shutting Down With Spinal Cord Compression? Hi CCF, I am 33 yr-female with Arnold-Chiari Malformation type 1. I have not been decompressed yet. I would like to know if this condition could cause my gut to shut down? I haven't been able to move my bowels in 2 weeks. I have tried taking fiber suppliments, eating more fruits and vegatables, nothing seems to help. I am always asked if having loss of control, never loss of urge to go. Do you have any suggestions for me on how to treat this problem. I must admit I am a little embarrassed to approach my doctor about this problem. My abdomen is swollen and hard with developement of new stretch marks. I don't know if I have an obstruction if I use other remedy like enema would be harmful for me to use. Thank You, Sincerely Anneliese Reitz

57. Recognizing Spinal Cord Emergencies - August 15, 2001 - American Family Physicia The differential diagnosis includes spinal cord compression secondary to vertebral Epidural spinal cord compression from metastatic cancer is common and http://www.aafp.org/afp/20010815/631.html

Advanced Search AAFP Home Page Journals Vol. 64/No. 4 (August 15, 2001) Recognizing Spinal Cord Emergencies DAISY ARCE, M.D., and PAMELA SASS, M.D. State University of New York Health Science Center at Brooklyn College of Medicine, Brooklyn, New York HASSAN ABUL-KHOUDOUD, M.D. Pembina County Memorial Hospital and Wedgewood Manor, Cavalier, North Dakota A PDF version of this document is available. Download PDF now (8 page(s) / 78 KB). More information on using PDF files. TABLE 1 "Red Flags" Suggesting a Serious Underlying Pathology Possibly Requiring Imaging The rightsholder did not grant rights to reproduce this item in electronic media. For the missing item, see the original print version of this publication. S pinal cord injuries are critical emergencies that must be recognized and treated early to increase the possibility of preventing permanent loss of function. The history and clinical presentation can provide the most important information in the assessment of a possible emergency. The physician must first look for "red flags"historical and clinical clues that may indicate the presence of a serious underlying disorder (Table 1) In determining the appropriate laboratory and imaging studies, the physician should follow the approach to low back pain given in an algorithm

58. Spinal Cord Compression - Acute spinal cord compression Acute. This is an emergency that requires immediate diagnosis and treatment. Etiology is usually related to tumor (or trauma). http://www.radiology.mcg.edu/RadPrimer/ImagSolbyClinScen/SpineComp.htm

Imaging Solutions by Clinical Scenario Adult or Child Spinal Cord Compression - Acute This is an emergency that requires immediate diagnosis and treatment. Etiology is usually related to tumor (or trauma). Immediate imaging of the applicable spine segment (cervical, thoracic, or lumbar as determined by the neurological examination) by CT with and without IV contrast or MRI with and without IV contrast is indicated. MRI is usually preferred if available and the patient can tolerate the examination. Once the imaging has been completed the referring physician should be prepared for immediate consultation to the neurosurgery or radiation therapy (or both) services, depending on the etiology of spinal cord compression.

59. People Living With Cancer - News For Patients From The ASCO Annual Surgery Provides Relief in Treating spinal cord compression. spinal cord compression is a painful and debilitating condition that may occur when cancer http://www.plwc.org/plwc/MainConstructor/1,1744,_12-001135-00_17-001029-00_18-00

60. Picture Of  Prevertebral Abscess With Spinal Cord Compression * OTOLARYNGOLOGY Prevertebral abscess extending into the spinal canal. http://www.ghorayeb.com/PrevertebralAbscess.html

Otolaryngology Houston Bechara Y. Ghorayeb, MD 8830 Long Point, Suite 806 Houston, Texas 77055 Tel. 713 464 2614 Pictures of Prevertebral Abscess with Osteomyelitis of the Cervical Vertebrae and Spinal Compression Professional Information Office Information What is Otolaryngology? Post-Op Information ... Home This page was last updated: March 25, 2005 Pictures Neck Abscess Peritonsillar Abscess Ludwig's Angina ... HOME Lateral cervical spine film shows widening of the prevertebral space and destruction of C5 and C6 vertebrae. Middle aged woman with a history of intravenous drug use, presented with progressive, excruciating neck pain radiating to the shoulders. Examination of the neck did not reveal any external abnormalities. The posterior pharyngeal wall looked normal. A lateral cervical spine x-ray showed widening of the prevertebral / retropharyngeal space, with destruction of the 5th and 6th cervical vertebral bodies. Staphylococcus aureus Axial MRI scan showing the extension of the prevertebral abscess into the spinal canal.

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