Spinal cord compression in the emergency department: using a diagnostic-therapeutic algorithm

被引:0
作者
Hernanz de Lucas, Raul [1 ]
Montero Luis, Angel [1 ]
Rodriguez Miranda, Belen [2 ]
Jose Venegas de L'Hotellerie, Maria [2 ]
机构
[1] Hosp Univ Ramon y Cajal, Serv Oncol Radioterap, Madrid, Spain
[2] Hosp Univ Fdn Alcorcon, Unidad Urgencias, Madrid, Spain
来源
EMERGENCIAS | 2010年 / 22卷 / 02期
关键词
Spinal cord compression; Early diagnosis; Radiotherapy; RADIATION-THERAPY; METASTASIS; CANCER;
D O I
暂无
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Malignant spinal cord compression is a medical emergency. Along with superior vena cava compression syndrome, spinal cord compression numbers among the most common oncologic emergencies. Delay in diagnosis or treatment can lead to greater or lesser degrees of paralysis or sphincter sensory alterations or loss of control in a very high percentage of patients, leading to considerable deterioration in quality of life. Early diagnosis followed by appropriate treatment of symptoms are the factors that most improve prognosis. [Emergencias 2010;22:120-124]
引用
收藏
页码:120 / 124
页数:5
相关论文
共 15 条
[1]   METASTATIC SPINAL-CORD COMPRESSION - OCCURRENCE, SYMPTOMS, CLINICAL PRESENTATIONS AND PROGNOSIS IN 398 PATIENTS WITH SPINAL-CORD COMPRESSION [J].
BACH, F ;
LARSEN, BH ;
ROHDE, K ;
BORGESEN, SE ;
GJERRIS, F ;
BOGERASMUSSEN, T ;
AGERLIN, N ;
RASMUSSON, B ;
STJERNHOLM, P ;
SORENSEN, PS .
ACTA NEUROCHIRURGICA, 1990, 107 (1-2) :37-43
[2]   Metastatic epidural spinal cord compression [J].
Cole, John S. ;
Patchell, Roy A. .
LANCET NEUROLOGY, 2008, 7 (05) :459-466
[3]  
CORONA JA, 2007, CUIDADOS CONTINUOUS, P325
[4]   Prognostic factors in metastatic spinal cord compression: A prospective study using multivariate analysis of variables influencing survival and gait function in 153 patients [J].
Helweg-Larsen, S ;
Sorensen, PS ;
Kreiner, S .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2000, 46 (05) :1163-1169
[5]   Malignant spinal cord compression: prospective study of delays in referral and treatment [J].
Husband, DJ .
BRITISH MEDICAL JOURNAL, 1998, 317 (7150) :18-21
[6]   Systematic review of the diagnosis and management of malignant extradural spinal cord compression: the cancer care Ontario practice guidelines initiative's neuro-oncology disease site group [J].
Loblaw, DA ;
Perry, J ;
Chambers, A ;
Laperriere, NJ .
JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (09) :2028-2037
[7]   RADIATION-THERAPY OF SPINAL-CORD COMPRESSION CAUSED BY BREAST-CANCER - REPORT OF A PROSPECTIVE TRIAL [J].
MARANZANO, E ;
LATINI, P ;
CHECCAGLINI, F ;
PERRUCCI, E ;
ARISTEI, C ;
PANIZZA, BM ;
RICCI, S .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1992, 24 (02) :301-306
[8]  
MARANZANO E, 1991, CANCER, V67, P1311, DOI 10.1002/1097-0142(19910301)67:5<1311::AID-CNCR2820670507>3.0.CO
[9]  
2-R
[10]   Metastasis to nervous system: spinal epidural and intramedullary metastases [J].
Mut, M ;
Schiff, D ;
Shaffrey, ME .
JOURNAL OF NEURO-ONCOLOGY, 2005, 75 (01) :43-56