Spinal cord compression Flashcards
1
Q
Definition
A
Oncological emergency usually due to spinal bone metastases compressing on cord
- Affects 5% of cancer patients
- Usually breast, lung, prostate
2
Q
Clinical Features
A
Back pain - early sign Lower limb weakness Sensor loss: numbness Upper motor neuron signs Below L1 = urinary retention, faecal incontinence
3
Q
Management
A
Lie flat on back
High dose dexamethasone
MRI scan and specialist input w/i 24h
