Template:Epidural compression syndromes management

  1. Dexamethasone: at least 16 mg IV as soon as possible after assessment[1]
  2. Consider foley for bladder decompression
  3. Radiation therapy (if due to neoplasm)
  4. Consult spine service (neurosurgery or ortho; institution dependent)
  1. Metastatic spinal cord compression: Diagnosis and management of patients at risk of or with metastatic spinal cord compression. Full Guideline. November 2008. Developed for NICE by the National Collaborating Centre for Cancer. ©2008 National Collaborating Centre for Cancer