Metastatic Spinal Cord Compression by Solid Tumors

Kristin Gabriel; David Schiff

doi:10.1055/s-2004-861532

Seminars in Neurology, Table of Contents

Semin Neurol 2004; 24(4): 375-383
DOI: 10.1055/s-2004-861532

Metastatic Spinal Cord Compression by Solid Tumors

Kristin Gabriel¹ , David Schiff²

¹Senior Neurology Resident, Virginia Commonwealth University Medical Center, Department of Neurology, Richmond, Virginia
²Director, Division of Neuro-oncology, Associate Professor of Neurology, Neurosurgery, and Medicine, Department of Neurology, University of Virginia Health System, Charlottesville, Virginia

Abstract

ABSTRACT

As the survival of cancer patients continues to improve, physicians in the 21st century face the challenge of early detection of metastatic spinal cord compression. Prompt diagnosis and intervention increase the likelihood of functional recovery. Because the epidural space is the most common site of spinal cord metastasis from solid tumors, this article will review the epidemiology, relevant anatomy, pathophysiology, clinical presentation, diagnostic evaluation, treatment, and prognosis for metastatic epidural spinal cord compression. Special attention will be given to the various modalities available for management of metastatic epidural spinal cord compression to maintain or restore normal spinal cord function and relieve pain. These treatment options will be considered according to patients' disease burden, life expectancy, and values. Intramedullary metastasis will be briefly discussed.

KEYWORDS

Metastatic spinal cord compression - intramedullary metastases

Full Text

References

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David SchiffM.D.

Department of Neurology, University of Virginia Health System

Jefferson Park Avenue, Hospital West, Room 6228, P.O. Box 800432

Charlottesville, VA 22908-0432