Spinal Cord Compression Flashcards Preview

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Flashcards in Spinal Cord Compression Deck (3):
1

What is the pathophysiology of Spinal Cord Compression?

1) Bone fragment fractures (rare) - but not common

2) Mass extradural - causing venous outflow obstruction leading to oedema. Increased pressure leads to ischemia.

2

What are some signs and symptoms of SCC?

1) Pain - back pain generally local but might be radicular

2) Neurology - weakness more common than loss of sensation (although eventually get paralyzed)

3) Incontinence retention with flopy anal tone

3

What Ix should you perform if you suspect it and what treatment?

MRI MRI MRI MRI - very time dependent

give 16mg dexamethasone (to keep blood flowing by decreasing oedema)

radiotherapy (palliative)

surgery