Spinal cord compression (non-traumatic): Difference between revisions

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==Background==
Normally from cancer
==Diagnosis==
==Diagnosis==
MRI, may get CT myelography
MRI, may get CT myelography


==Treatment==
==Treatment==
#Rad Tx for compressive lesions
#Consult neurosurg and/or rad onch
#AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS GUIDLINES (9/07) NO LONGER RECOMMENDS STEROIDS FOR SPINAL CORD INJURY
#Corticosteroid Therapy
##(Old for Tx <8 hrs = methylprednisolone 30 mg IV, then infusion of 5.4 m/k/h x 23 hrs + GI prophylaxis)
##Normally dexamethasone (4 to 100 mg)
##Consider emergent radiation, surgical intervention, and/or chemo therapy
 
==Disposition==
Admit


==See Also==
==See Also==

Revision as of 20:58, 16 July 2011

Background

Normally from cancer

Diagnosis

MRI, may get CT myelography

Treatment

  1. Consult neurosurg and/or rad onch
  2. Corticosteroid Therapy
    1. Normally dexamethasone (4 to 100 mg)
    2. Consider emergent radiation, surgical intervention, and/or chemo therapy

Disposition

Admit

See Also

Source

DONALDSON 9/07 (Adapted from Lampe, Hockberger, Brower, and Mistry)