41. NEJM -- Relief Of Spinal Cord Compression From Vertebral Hemangioma By Intralesi Original Article from The New England Journal of Medicine Relief of Spinal CordCompression from Vertebral Hemangioma by Intralesional Injection of Absolute http://content.nejm.org/cgi/content/short/331/8/508

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 331:508-511 August 25, 1994 Number 8 Next Relief of Spinal Cord Compression from Vertebral Hemangioma by Intralesional Injection of Absolute Ethanol John D. Heiss, John L. Doppman, and Edward H. Oldfield 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 Letters Add to Personal Archive Add to Citation Manager ... PubMed Citation Vertebral hemangiomas are relatively common abnormalities. They have been found in 10.7 percent of spines at autopsy and in 14.2 percent of people over the age of 60 years . However, neurologic symptoms, which result from epidural compression of the spinal cord by the hemangioma, hypertrophied bone, epidural hemorrhage, or compression fracture, are uncommon . Current treatments for symptomatic vertebral hemangioma include surgery, radiotherapy, and transarterial embolization . Surgical treatment is often associated with profuse hemorrhage, incomplete resection, and

42. 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.

43. People Living With Cancer - News For Patients From The ASCO Annual 1. A Word From The President 2. Surgery Provides Relief in Treating spinal cord compression3. Pemetrexed May be Equivalent to Docetaxel in Treating Recurrent http://www.plwc.org/plwc/MainConstructor/1,1744,_12-001135-00_17-001029-00_18-00

44. SBMJ Picture Quiz spinal cord compression Case history. Sensory changesSensorychanges vary according to the extent of spinal cord compression. http://www.studentbmj.com/back_issues/0303/education/58.html

Using mobile phones in hospitals: what's the worst that could happen? Ophthalmology: Eyelid problems Chronic cough Black box Picture Quiz: Spinal cord compression Write a response to this article Email this article to a friend 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)?

45. Welcome To AJC! Alternative names spinal cord compression; Spinal cord injury; Compressionof spinal cord. Definition Spinal cord trauma is damage http://www.ajc.com/health/healthfd/shared/health/adam/ency/article/001066.html

Main Contact us Edit profile Subscribe ... Register Now It's Free! Log in E-mail preferences Site Index Search: Site Yellow Pages Customer care ajc.com Nation/World Metro ... Personals ajc services Archives Advertise online Advertise in print Obituaries ... Sitemap Print edition Today This week A1 image E-mail News  Sign up for our  FREE newsletters: News Sports Business Travel Deals ... Logged in? ajc store Gifts Photos/pages Browser tip  Make ajc.com  your homepage: ajc guides Schools Visitors Illustrated Health Encyclopedia Important notice Ency. home Disease S Spinal cord trauma Overview Symptoms Treatment Prevention Alternative names: Spinal cord compression; Spinal cord injury; Compression of spinal cord 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. Causes and Risks 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

46. Spinal Cord Injury Related Medical Illustrations click thumbnail to review. Long-term Effects of Lowerspinal cord compression. spinal cord compression from C6-7 Disc Herniation. http://catalog.nucleusinc.com/displaymonograph.php?MID=90

47. C6-7 Disc Herniation With Spinal Cord Compression - Medical Illustration C67 Disc Herniation with spinal cord compression - Medical Illustration, C6-7Disc Herniation with spinal cord compression - Medical Illustration. http://catalog.nucleusinc.com/generateexhibit.php?ID=7379&ExhibitKeywordsRaw=&TL

48. Epidural Metastases/Spinal Cord Compression Epidural Metastases/spinal cord compression. 176 Signs of spinal cord compressioninclude motor, sensory, and autonomic bladder and bowel) dysfunction. 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.

49. U.S. Novartis Oncology - Bone Metastases spinal cord compression is a rare but serious problem of cancer.......Bone Metastasis spinal cord compression. Symptom and http://www.us.novartisoncology.com/info/page/about-metastases?subject=3&article=

50. OncoLink | The Web's First Cancer Resource spinal cord compression. James spinal cord compression is consideredan oncologic emergency that requires prompt intervention. The http://www.oncolink.org/oncotips/article.cfm?c=1&s=4&ss=13&id=26

51. OncoLink | The Web's First Cancer Resource Metastatic spinal cord compression A Randomized Trial of Direct DecompressiveSurgical Resection Plus Radiotherapy vs. Radiotherapy Alone. http://www.oncolink.org/conferences/article.cfm?c=3&s=22&ss=145&id=927

52. Spinal Cord Trauma- Medcohealth.com If spinal cord compression is caused by a mass (such as a hematoma or bony fragment)that can be removed or brought down before there is total destruction of http://www.medcohealth.com/medco/consumer/ehealth/ehsarticle.jsp?ltSess=y&articl

53. Cancer - Spinal Cord Compression Risk Predictable In Prostate Cancer Patients spinal cord compression Risk Predictable In Prostate Cancer Patients.WESTPORT, CT Aug 10 (Reuters Health) Patients with metastatic http://www.cancerpage.com/cancernews/cancernews3167.htm

Spinal Cord Compression Risk Predictable In Prostate Cancer Patients WESTPORT, CT Aug 10 (Reuters Health) - Patients with metastatic prostate cancer who are at high risk for occult subarachnoid space or spinal cord (SAS/SC) compression can be identified using clinical parameters and currently available diagnostic tests. Dr. Michael Milosevic and colleagues from the Princess Margaret Hospital in Toronto and the University of Toronto prospectively studied 68 prostate cancer patients with bone metastases and normal neurologic exams to identify clinical, X-ray, and bone scan parameters that predict occult SAS/SC compression, as determined by MRI. Twenty-two patients (32%) were diagnosed with occult SAS/SC compression using MRI, according to the report in the July 15th issue of Cancer . Compressions at two discontinuous spinal levels were observed in nine patients (13%). "The extent of disease on bone scan and the duration of continuous hormonal therapy were independent predictors of SAS/SC compression by multivariate analysis (p = 0.02 and p = 0.04, respectively)," the investigators report. As the duration of continuous hormonal treatment increased from to 24 months, patients with bone

54. EMedicine - Spinal Cord Infections : Article By Andrew K Chang, MD Epidural and Subdural Infections. Other Problems to be Considered Transverse myelitisIntervertebral disk herniation Intraspinal tumor spinal cord compression. http://www.emedicine.com/EMERG/topic552.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Neurology Spinal Cord Infections Last Updated: October 26, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Andrew K Chang, MD , Assistant Professor, Department of Emergency 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, FAAEM , Associate Professor, Department of Emergency Medicine, University of Alabama at Birmingham; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine;

55. EMedicine - Neoplasms, Spinal Cord : Article Excerpt By: J Stephen Huff, MD not actually spinal cord tumors, they are included in this discussion because vertebralmetastases cause 85% of the cases of spinal cord compression, and the http://www.emedicine.com/emerg/byname/neoplasms-spinal-cord.htm

(advertisement) Excerpt from Neoplasms, Spinal Cord Please click here to view the full topic text: Neoplasms, Spinal Cord Background: Neoplastic disease involving the spine and spinal cord is a true neurologic emergency and may be devastating if unrecognized. Primary spinal cord tumors arise from different elements of the CNS, including neurons, supporting glial cells, and meninges. Anatomically, neoplasms of the spinal cord may be classified according to the compartment of origin, either intramedullary (inside the cord) or extramedullary (outside the cord). Additionally, tumors emanating from the surrounding meninges or cancers that metastasize to the vertebrae or surrounding tissues may cause epidural cord compression. Although metastatic lesions are not actually spinal cord tumors, they are included in this discussion because vertebral metastases cause 85% of the cases of spinal cord compression, and the clinical presentation tends to be indistinguishable from that of primary cancer of the spinal cord. For the emergency physician, the cell origin of the tumor is less of a concern than the consequent syndromes of spinal cord dysfunction.

56. Fibromyalgia - Chronic Fatigue Syndrome - Chiari Malformation - Cervical Spinal Fibromyalgia and chronic fatigue patients diagnosed with Chiari malformation and/orcervical spinal cord compression share before and after surgery testimonials http://www.nfra.net/PatTestim.htm

Fibromyalgia (fi-bro-my-AL-ja) syndrome (FMS) produces chronic body-wide pain, which migrates and can be felt from head to toe. Diagnostic Criteria Rosner Rebuttal Central Nervous System Compare Symptoms Chiari I Malformation Cervical Spinal Stenosis Low Blood Pressure MRI Requirements Patient Testimonials Dr. Heffez Information Introduction to NFRA NFRA Symposiums Subgroups in FM New Dimensions in FM Other Abstracts Awareness Pin Gifts and Memorials Calendar of Events Patient Organizations www.fmaware.org www.fmpartnership.org Patient Testimonials The following are pre and post-surgical testimonials from patients who have undergone craniectomy surgery for Chiari I Malformation and/or a laminectomy for cervical spinal cord stenosis: Lauri Tamara Denise Helen ... Sharon National Fibromyalgia Research Association PO Box 500, Salem, OR 97302

57. Cervical Spinal Stenosis Abstract I a prospective database to catalogue neurological findings in patients with fibromyalgiato examine the possible etiological role of spinal cord compression. http://www.nfra.net/Stenos1.htm

Fibromyalgia (fi-bro-my-AL-ja) syndrome (FMS) produces chronic body-wide pain, which migrates and can be felt from head to toe. Diagnostic Criteria Rosner Rebuttal Central Nervous System Compare Symptoms Chiari I Malformation Cervical Spinal Stenosis Low Blood Pressure MRI Requirements Patient Testimonials Dr. Heffez Information Introduction to NFRA NFRA Symposiums Subgroups in FM New Dimensions in FM Other Abstracts Awareness Pin Gifts and Memorials Calendar of Events Patient Organizations www.fmaware.org www.fmpartnership.org Cervical Spinal Stenosis Abstract I Can Spinal Cord Compression Cause the Fibromyalgia Syndrome? OBJECTIVE : The symptoms of cervical myelopathy mimic those of fibromyalgia. We established a prospective database to catalogue neurological findings in patients with fibromyalgia to examine the possible etiological role of spinal cord compression. The principal criterion for referral is cervical spinal canal or foramen magnum stenosis on a screening MRI scan. Patients complete a detailed questionnaire regarding current symptoms and past medical care and are examined by a neurologist and a neurosurgeon. Measures of balance, strength, coordination, and cognitive function are obtained using a battery of standardized tests. METHODS CONCLUSION : We conclude that some patients with fibromyalgia have cervical myelopathy on the basis of spinal cord or cervicomedullary compression. We recommend a thorough neurological examination and a screening MRI scan of the cervical spine and brain in all patients with fibromyalgia who do not respond to conventional medical therapy.

58. Cord Compression spinal cord compression. Further reading. Johnstone RA. The management of acutespinal cord compression. J Neurol Neurosurg Psychi 1993; 5610461054. http://www.aic.cuhk.edu.hk/web8/spinal_cord_compression.htm

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

59. Spinal Cord Compression spinal cord compression An Obstructive Oncologic Emergency. from Topics in AdvancedPractice Nursing eJournal Posted 10/14/2002. Maryjo Osowski, RN, MSN, AOCN. http://www.medscape.com/viewarticle/442735

60. Surgery For Spinal Cord Compressing Metastases Helps Mobility June 4, 2003 (Chicago) — Direct decompressive surgical resection can help patientswith spinal cord compression caused by tumor metastasis to remain http://www.medscape.com/viewarticle/456669

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