Oncological Emergencies Flashcards
1
Q
In which cancers does spinal cord compression commonly present?
A
Lung, breast and prostate cancer
2
Q
How does spinal compression usually occur in cancer?
A
This is usually due to extradural compression as a result of vertebral body masses
3
Q
What are the clinical features of neoplastic spinal cord compression?
A
- Back pain - most commonly the earliest sign
- Leg weakness
- Neurological signs - Lesions above L1 usually cause UMN signs in the legs and sensory changes. Below L1 usually cause LMN signs and perianal numbness
4
Q
How would you investigate neoplastic spinal cord compression?
A
An urgent MRI must be carried out within 24 hours
5
Q
What is the management for neoplastic spinal cord compression?
A
- Dexamethasone
* Urgent Oncological review for consideration of radiotherapy/surgery
