Ver el código de «Malignant spinal cord compression»

==Background==
*Suspect in pt w/ known cancer (esp lung, breast, prostate) + back pain
*Occurs in thoracic location in 70% of patients

==Clinical Features==
*Back pain (90% of patients)
**Progressive and worse when supine
*Motor weakness (proximal legs)
*Sensory changes and bladder or bowel dysfunction (late findings)

==Diagnosis==
*MRI: modality of choice
*CT myelography: use if MRI unavailable
*Metastatic Bone Cancers
**BTL w/ Pickles and Relish: Breast, Thyroid, Lung, Prostate, Renal

==Differential Diagnosis==
{{Oncologic emergencies DDX}}

==Treatment==
#Corticosteroids
##Dexamethasone 10mg IV followed by 4mg PO or IV q6hr
##Consider starting in ED if imaging is delayed
#Radiotherapy (emergent)

==See Also==
[[Spinal Cord Compression (Non-Traumatic)]]

==References==
<references/>


[[Category:Heme/Onc]]