1. Acute Spinal Cord Compression Signs, symptoms and diagnostic considerations of acute spinal cord compression, http://chorus.rad.mcw.edu/doc/00790.html

CHORUS Collaborative Hypertext of Radiology Nervous system Feedback Search 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. Charles E. Kahn, Jr., MD - 2 February 1995 Last updated 26 May 2004 Medical College of Wisconsin

2. THE MERCK MANUAL, Sec. 14, Ch. 182, Spinal Cord Disorders This Publication Is Searchable. The Merck Manual of Diagnosis and Therapy. Section 14. Neurologic Disorders. General spinal cord compression. Subdural Or Epidural Abscess And Hematoma. Syrinx. Vascular Disorders Many diseases affect the spinal cord by mechanical compression, which often presents stereotypically http://www.merck.com/pubs/mmanual/section14/chapter182/182b.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 14. Neurologic Disorders Chapter 182. Spinal Cord Disorders Topics [General] Spinal Cord Compression Subdural Or Epidural Abscess And Hematoma Syrinx ... Spinal Cord Injury Spinal Cord Compression Many diseases affect the spinal cord by mechanical compression, which often presents stereotypically and can be treated effectively if detected early. Acute compression is usually traumatic, producing signs of segmental damage at the level of compression usually combined with corticospinal tract dysfunction (eg, hyperreflexia, Babinski's sign, weakness) and sensory deficits below the level of compression (see Spinal Cord Injury, below). Subacute compression is usually caused by an extramedullary neoplasm (see Spinal Cord Neoplasms in Ch. 177), a subdural or epidural abscess or hematoma (see below ), or a cervical (or rarely thoracic) disk rupture. Patients present with local spinal pain, often with a radicular distribution, and reflex changes due to corticospinal tract dysfunction. Weakness (often proximal) of the legs, sensory loss, and, finally, loss of sphincter control follow. Segmental motor or sensory loss in the arms is common with cervical lesions. Pain and mild weakness may last hours to days, but the transition to total loss of function caudal to the lesion may take only minutes or less if vascular compromise to or transection of the cord develops. Chronic compression may be caused by bony or cartilaginous protrusions into the cervical, thoracic, or lumbar spinal canal (eg, from osteophytes or spondylosis, especially in patients with a congenitally narrow spinal canalsee

3. Epidural Metastases/Spinal Cord Compression 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. necrologic deficits 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)

4. Basal Cell Carcinoma (BCC) Causing Spinal Cord Compression Basal cell carcinoma (BCC) causing spinal cord compression. Benjamin Cohen 1 Glen Weiss 1 2 Hong Yin3. Dermatology Online Journal 6(1) 12. 1. Dermatology and Laser Center, Long Branch, NJ 2. impression of BCC causing spinal cord compression was confirmed by microscopy and 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.

5. MedlinePlus Medical Encyclopedia: Spinal Cord Trauma Alternative names Return to top. spinal cord compression or injury;Compression of spinal cord Definition Return to top. Spinal cord http://www.nlm.nih.gov/medlineplus/ency/article/001066.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Spinal cord trauma Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Vertebrae Cauda equina Vertebra and spinal nerves Alternative names Return to top Spinal cord compression or injury; Compression of spinal cord Definition Return to top 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. Causes, incidence, and risk factors Return to top Spinal cord trauma can be caused by any number of injuries to the spine that 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 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.

6. MedlinePlus Medical Encyclopedia: Spinal Cord Abscess A neurologic examination may indicate spinal cord compression, with involvement ofthe lower body (paraplegia) or the entire trunk, arms, and legs (quadriplegia http://www.nlm.nih.gov/medlineplus/ency/article/001405.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Spinal cord abscess Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Vertebrae Central nervous system Alternative names Return to top Abscess - spinal cord Definition Return to top Spinal cord abscess is a disorder characterized by inflammation and a collection of infected material (pus) around the spinal cord. Causes, incidence, and risk factors Return to top A spinal cord abscess is caused when infection occurs within the internal areas of the spine. An abscess of the spinal cord itself is very, very rare. A spinal abscess usually occurs as an epidural abscess Pus forms as a collection of fluid, destroyed tissue cells, white blood cells, and live and dead microorganisms. The pus commonly becomes encapsulated (enclosed) by a lining or membrane that forms around the edges. The pus collection ( abscess ) causes pressure on the spinal cord. The infection may cause inflammation and

7. Spinal Cord Compression spinal cord compression. DESCRIPTION Impingement on the spinal cord, usually by an extramedullary neoplasm 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

8. THE MERCK MANUAL, Sec. 14, Ch. 182, Spinal Cord Disorders General. spinal cord compression. Subdural Or Epidural Abscess And Hematoma.Syrinx. Spinal Cord Injury. click here for navigation help. spinal cord compression. http://www.merck.com/mrkshared/mmanual/section14/chapter182/182b.jsp

9. OncoLink FAQs A reader has a question about the causes and treatment of spinal cord compression. http://www.oncolink.com/templates/experts/article.cfm?c=1&s=5&ss=6&i

10. THE MERCK MANUALSECOND HOME EDITION, Spinal Cord Compression In spinal cord compression. Normally the A beltlike band of discomfortmay be felt at the level of spinal cord compression. Once spinal http://www.merck.com/mrkshared/mmanual_home2/sec06/ch093/ch093c.jsp

11. Spinal Cord Compression spinal cord compression. Bibliography. Abraham J. Management of painand spinal cord compression in patients with advanced cancer. http://www.surgical-tutor.org.uk/system/locomotor/cord_compression.htm

Up Degenerative and rheumatoid arthritis Hip replacement surgery Acute osteomyelitis ... Low back pain [ Spinal cord compression ] Thoracic outlet compression syndrome Osteoporosis Metabolic bone disease Developmental dysplasia of the hip ... Scoliosis Spinal cord compression The clinical features of a spinal cord lesion depend on its rate of development Trauma produces acute compression with rapidly developing effects Benign neoplasms can cause substantial compression with little neurological deficit Anatomy The spinal cord is shorter than spinal canal The cord ends at the interspace between the L1 and L2 vertebrae Below the termination of the cord the nerve roots form the cauda equina Within cervical spine segmental levels of cord correspond to bony landmarks Below this level there is increasing disparity between levels Spinal pathology below L1 presents with only root signs Aetiology Trauma - vertebral body fracture or facet joint dislocation Neoplasia - benign or malignant Degenerative - prolapsed intervertebral disc, osteophyte formation Vascular - epidural or subdural haematoma Inflammatory - rheumatoid arthritis Infection - tuberculosis or pyogenic infections Clinical presentation Clinical features depend on extent and rate of development of cord compression Motor symptoms include easy fatigue and gait disturbance Cervical spine disease produces quadriplegia Thoracic spine disease produces paraplegia Lumbar spine disease affects L4, L5 and sacral nerve roots

12. NeuroGate.com Search results for "spinal cord compression" Cardioguide Matches 1 10 of de radiologieABNORMALITIES SPINA CORD ABNORMALITIES SPINAL CORD CT ARACHNOIDITIS BRAIN ABNORMALITIES http://www.neurogate.com/neuro/result.php3?search=Spinal Cord Compression&se

13. Spinal Cord Compression spinal cord compression. This is a major medical oncology emergencythat can happen in any patient who has advanced cancer. Delay http://www.tirgan.com/cordcom.htm

Home Services Contact Links ... Chemotherapy Drugs Spinal Cord Compression This is a major medical oncology emergency that can happen in any patient who has advanced cancer. Delay in diagnosis and appropriate treatment of this condition can result in permanent paralysis, loss of bladder and bowel function. This condition is due to the spread of cancer to the spine and tissues around the spinal cord that may result in compression of spinal cord. Signs and Symptoms: Pain in the back or radiating from the back. Pain can be exacerbated by coughing or movement. Loss of sensation in lower part of the body Retention of urine Bowel and bladder dysfunction, incontinence Diagnosis This is achieved by CT Scan or MRI of the Spine. Treatment: Treatment of this condition should be started promptly by one or several of the following methods: Radiation therapy Steroids Chemotherapy Surgery If cancer patients have any signs or symptoms of cord compression, they should contact their medical oncologist or their primary medical doctor so that treatment may begin immediately. The success of treatment depends on how early the intervention begins. Sometimes a tissue diagnosis is required. A neurosurgeon or another specialist will take a

14. Surgical Therapy Helps Spinal Cord Compression Patients --- HealthandAge Surgery helps patients with spinal cord compression regain more mobility. patients who have cancer that causes compression of the spinal cord. Some of the patients received http://www.healthandage.com/Home/gid1=4983;jsessionid=1V3iZtP893jtcNt2N5aGjwDTh2

June 3, 2004 Home Health Centers HealthandAge Network Caregivers' Center ... Primer on Aging Choose Font Size Normal Large Extra Large Surgical therapy helps spinal cord compression patients Surgical therapy helps spinal cord compression patients Reported by Susan Aldridge, PhD, medical journalist Surgery helps patients with spinal cord compression regain more mobility. Researchers at the University of Maryland have been working with a group of 101 patients who have cancer that causes compression of the spinal cord. Some of the patients received radiotherapy alone, while others had surgery to relieve the spinal compression and remove as much tumor as possible. Sixteen patients in each of the sub-groups were unable to walk at the start of the study. More of those in the surgery plus radiotherapy group regained the ability to walk compared to those receiving radiotherapy alone. Those receiving surgery also tended to survive for longer. Mobility is important to such patients - they may not, always, have much longer to live. Being able to walk keeps them relatively independent and improves quality of life. This study suggests that surgery is a worthwhile way of helping them. Source American Society for Therapeutic Radiology and Oncology Annual Meeting 20th October 2003 COOKING If preparing nutritious meals has become more of a challenge than a pleasure, consider these effort-saving steps.

15. Spinal Cord Compression spinal cord compression. Department of Neurosurgery. Index. For a printed versionplease download file spinal cord compression.doc. Symptoms Signs Pain . . . . http://medweb.bham.ac.uk/neurosurgery/Cord.html

Spinal Cord Compression Department of Neurosurgery Index Neurosurgery Home Page Teaching Index Brain Tumours Acute Neurosurgical Deterioration ... Head Injury Spinal Cord Compression Subarachnoid Haemorrhage Neurosurgical Scales Undergraduate Medicine ( MB ChB ) 4th Year Neurosurgical Notes For a printed version please download file SPINAL CORD COMPRESSION.doc Depends on 1. Site and nerve roots 2. Speed of onset 3. Pathological cause 4. Involvement of blood supply - level of progression PAIN bone muscle root central - involvement - spasm - lumbargirelle - dull ache DEFICIT weakness sensory level sphincter - UMN / LMN - painless retention Commonest causes Extradural 1. Metastatic tumour

16. 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 this complication. As well, renal cell 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:

17. Compression Of The Spinal Cord - Information / Diagnosis / Treatment / Preventio Compression of the Spinal Cord. Web Directory ? CHORUS Notecard Document Signs,symptoms and diagnostic considerations of acute spinal cord compression,. http://www.healthcyclopedia.com/neurological-disorders/spinal-cord/compression.h

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... spinal cord > compression Compression of the Spinal Cord Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Related Topics Medical Definition Health News Web Directory: Related Topics: Neurological Disorders/Peripheral Nervous System/Nerve Compression Syndromes Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "compression" Health News: Search millions of published articles for news on Compression of the Spinal Cord Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: CHORUS Notecard Document Signs, symptoms and diagnostic considerations of acute spinal cord compression, OncoLink FAQs A reader has a question about the causes and treatment of spinal cord compression.

18. Lung Cancer Online: Lung Cancer Complications: Spinal Cord Compression spinal cord compression. OncoLink Ask the Experts spinal cord compression (OncoLink)Describes the major causes and incidence of 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: 02-Feb-2004 Karen Parles, MLS Editor

19. SPINAL CORD COMPRESSION spinal cord compression. This response submitted by T SMITH on 1/28/96. CYNTHIA I., HOPE YOUR SURGERY SOLVED YOUR PROBLEMS. DID YOU REQUEST MRI'S OF THE THORACIC AND LUMBAR AREAS AS WELL? I HAD http://neuro-www.mgh.harvard.edu/neurowebforum/MovementDisordersArticles/SPINALC

SPINAL CORD COMPRESSION This response submitted by T SMITH on 1/28/96. Next Article Previous Article Return to Main Article Article complete. Click HERE to return to the Neurology Web-Forum Menu.

20. Spinal Cord Compression Patient medical question and doctor answer from The Neurology and Neurosurgery Forum at Med Help. Health topic area and articles about pain. has just undergone an MRI which show a spinal cord compression somewhere in the L5 to L7. instability of the spine, leading to spinal cord compression and neurologic deficits http://www.medhelp.org/perl6/neuro/archive/474.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Spinal Cord compression Topic Area: Pain Forum: The Neurology and Neurosurgery Forum Question Posted By: Diane Tait on Wednesday, May 21, 1997 Posted by CCF NEURO MD on May 29, 1997 at 15:19:05: In Reply to: Spinal Cord compression posted by Diane Tait on May 21, 1997 at 22:28:14: : My husband is 61 years and suffers from RA. He has severe disk degeneration ans has had 4 major surgeries plus some smaller ones in the past two years. 1 Laminotomy in the neck 2. laminectomy and discectomy in the lumbar area. 3 Aorto/femoral bypass and left hip replacement. The smaller surgeries were cataracts and CT release in both hands. He has just undergone an MRI which show a spinal cord compression somewhere in the L5 to L7. The possibility of surgery was discussed a little in that there were two ways to go. Anterially or from the back of the neck. His health is not the best as he has a "touch" of emphyzema. Is that like being a "little bit pregnant?) and he has high blood pressure and is on digoxin for atrial fib.(Had one attack). His limbs go numb,he has pain shooting through his head and gets dizzy. He gets tunnel like vision at times. Does anyone have any alternatives or advice or suggestions or anything that they can tell me. He has complained for two years about this problem (just after the neck surgery) but no one has listened until now. What if he doesn't have any surgery? Will he become totally incapacitated, should he risk having the surgery knowing his health is not going to improve as he gets older? Please help!!!

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