1. Acute Spinal Cord Compression Signs, symptoms and diagnostic considerations of acute spinal cord compression, http://chorus.rad.mcw.edu/doc/00790.html

CHORUS Collaborative Hypertext of Radiology Nervous system Feedback Search acute spinal cord compression Signs and symptoms of cord compression show progression within 24 hours or less: pain weakness autonomic dysfunction sensory loss ataxia Diagnostic considerations: Primary or secondary malignancy of epidural space or vertebrae Trauma Inflammatory process Osteoarthritis REF: MacNeil BJ, Abrams HL. Brigham and Women's Hospital Handbook of Diagnostic Imaging. Chapter 35. Charles E. Kahn, Jr., MD - 2 February 1995 Last updated 14 March 2001 Medical College of Wisconsin

2. THE MERCK MANUAL, Sec. 14, Ch. 182, Spinal Cord Disorders An article about spinal cord compression, its diagnosis and treatment.Category Health Conditions and Diseases Spinal Cord Compression...... General. spinal cord compression. Subdural Or Epidural Abscess And Hematoma.Syrinx. Spinal Cord Injury. click here for navigation help. spinal cord compression. http://www.merck.com/pubs/mmanual/section14/chapter182/182b.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 14. Neurologic Disorders Chapter 182. Spinal Cord Disorders Topics [General] Spinal Cord Compression Subdural Or Epidural Abscess And Hematoma Syrinx ... Spinal Cord Injury Spinal Cord Compression Many diseases affect the spinal cord by mechanical compression, which often presents stereotypically and can be treated effectively if detected early. Acute compression is usually traumatic, producing signs of segmental damage at the level of compression usually combined with corticospinal tract dysfunction (eg, hyperreflexia, Babinski's sign, weakness) and sensory deficits below the level of compression (see Spinal Cord Injury, below). Subacute compression is usually caused by an extramedullary neoplasm (see Spinal Cord Neoplasms in Ch. 177), a subdural or epidural abscess or hematoma (see below ), or a cervical (or rarely thoracic) disk rupture. Patients present with local spinal pain, often with a radicular distribution, and reflex changes due to corticospinal tract dysfunction. Weakness (often proximal) of the legs, sensory loss, and, finally, loss of sphincter control follow. Segmental motor or sensory loss in the arms is common with cervical lesions. Pain and mild weakness may last hours to days, but the transition to total loss of function caudal to the lesion may take only minutes or less if vascular compromise to or transection of the cord develops. Chronic compression may be caused by bony or cartilaginous protrusions into the cervical, thoracic, or lumbar spinal canal (eg, from osteophytes or spondylosis, especially in patients with a congenitally narrow spinal canalsee

3. Basal Cell Carcinoma (BCC) Causing Spinal Cord Compression Basal cell carcinoma (BCC) causing spinal cord compression. Benjamin Cohen 1 Glen Weiss 1 2 Hong Yin3 http://dermatology.cdlib.org/DOJvol6num1/case_reports/bcc/00-1m.html

DOJ Contents English Basal cell carcinoma (BCC) causing spinal cord compression Benjamin Cohen, Glen Weiss, Hong Yin Dermatology Online Journal 6(1): 12 1. Dermatology and Laser Center, Long Branch, NJ 2. Sackler School of Medicine, NY/American Program, Tel Aviv, ISRAEL 3. Department of Pathology, Monmouth Medical Center, Long Branch, NJ Abstract Basal cell carcinoma (BCC) is the most common cutaneous malignancy affecting populations with light skin, though these tumors rarely cause severe morbidity or mortality. We report an adult male with back pain and leg weakness associated with a neglected, ulcerated lower back tumor of fifteen years duration. The clinical impression of BCC causing spinal cord compression was confirmed by microscopy and magnetic resonance imaging (MRI). Introduction Basal cell carcinoma (BCC) is one of the most common cancers in humans in many countries. In the literature, areas of primary BCC have mostly been the face, scalp, and upper torso.[ Rarely do BCC's cause devastating disfigurement or disability. "High risk" BCC's can be characterized as those of long duration, larger than 2 cm, located in mid face or ear, with aggressive histologic subtype, previously treated, neglected, or previously irradiated.[ Case Report Figure 1 Figure 1. Physical exam revealed a 18cm x 30cm necrotic ulcer with rolled borders and telangiectasia on the back extending from scapula to scapula and from the 1st thoracic vertebra to the 2nd lumbar vertebra.

4. Mild Brain Injury And/or Spinal Cord Compression Subluxation spinal cord compression subluxations usually occur in a vehicle accident, when the head strikes the windshield, dashboard http://www.chiroweb.com/archives/17/21/08.html

Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Mild Brain Injury and/or Spinal Cord Compression Subluxation Spinal cord compression subluxations usually occur in a vehicle accident, when the head strikes the windshield, dashboard, steering wheel, headrest, door frame or window, and/or the head is struck by the explosion of the air bag. The spinal cord is thickest in the upper cervical region where it completely fills the spinal canal. The spinal cord is insensitive to pain and is often overlooked. If injured, it may become swollen, creating symptoms indistinguishable from mild brain injury. Spinal Cord Compression Subluxation from Mild Brain Injury Spinal cord compression subluxation will most often occur in the upper cervical region, which is freely movable, and the slightest displacement can result in impingement. For example, the skull articulates on the condyles of the occiput with the upper surfaces of the lateral masses of the atlas vertebra. In a whiplash-type injury, the head often is snapped backward toward the impact. Just as the condyles reach the limits of its articulation with the atlas, the head strikes the headrest, causing a pincher-type movement between the foramen magnum and the lateral masses compressing the spinal cord. The force of the impact of this injury may cause an occipitoatlantoaxial subluxation which may put mechanical pressure on the spinal cord. This traumatic joint lock may cause residual symptoms, creating confusion between a spinal cord compression subluxation and/or mild brain injury.

5. THE MERCK MANUAL, Sec. 14, Ch. 182, Spinal Cord Disorders An article about acute transverse myelitis. Offers a definition, the symptoms, diagnosis and treatment.Category Health Conditions and Diseases Infections Myelitis...... Chapter 182. Spinal Cord Disorders. Topics. General. spinal cord compression.Subdural Or Epidural Abscess And Hematoma. Syrinx. Vascular Disorders. http://www.merck.com/pubs/mmanual/section14/chapter182/182g.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 14. Neurologic Disorders Chapter 182. Spinal Cord Disorders Topics [General] Spinal Cord Compression Subdural Or Epidural Abscess And Hematoma Syrinx ... Spinal Cord Injury Acute Transverse Myelitis A syndrome, not a disease, in which acute inflammation affects gray and white matter in one or more adjacent thoracic segments. Often, the cause is unknown, but some cases follow nonspecific viral infection or vaccination, suggesting an immunologic cause; others are associated with vasculitis, use of amphetamines or IV heroin, Lyme disease, syphilis, TB, or parasitic or fungal agents. Symptoms and Signs Usually, ascending weakness and numbness of the feet and legs and difficulty voiding develop over a few days; they may progress over several more days to become severe, usually with global sensorimotor paraplegia below the lesion, urinary retention, and loss of bowel control. Occasionally, posterior column functions are spared, at least initially. Local back pain, headache, and stiff neck may be present. The syndrome occasionally recurs. Diagnosis and Treatment CSF examination may show monocytes and a slightly increased protein content. MRI can rule out expanding extramedullary lesions. MRI or myelography may show swelling of the cord and occasionally a subarachnoid block at the level of the lesion. If myelography is used, supine and prone visualization is necessary to rule out a vascular malformation. Blood serologies are abnormal in rare cases associated with collagen vascular disease.

6. OncoLink A reader has a question about the causes and treatment of spinal cord compression. http://www.oncolink.com/templates/experts/article.cfm?c=1&s=5&ss=6&i

7. Spinal Cord Compression spinal cord compression. Bibliography. Abraham J. Management of painand spinal cord compression in patients with advanced cancer. http://www.surgical-tutor.org.uk/system/locomotor/cord_compression.htm

Up Fractures and joint injuries Hip fractures Paediatric fractures ... Low back pain [ Spinal cord compression ] Metabolic bone disease Congenital dislocation of the hip Hip pain in childhood Scoliosis Spinal cord compression The clinical features of a spinal cord lesion depend on its rate of development Trauma produces acute compression with rapidly developing effects Benign neoplasms can cause substantial compression with little neurological deficit Anatomy The spinal cord is shorter than spinal canal The cord ends at the interspace between the L1 and L2 vertebrae Below the termination of the cord the nerve roots form the cauda equina Within cervical spine segmental levels of cord correspond to bony landmarks Below this level there is increasing disparity between levels Spinal pathology below L1 presents with only root signs Aetiology Trauma - vertebral body fracture or facet joint dislocation Neoplasia - benign or malignant Degenerative - prolapsed intervertebral disc, osteophyte formation Vascular - epidural or subdural haematoma Inflammatory - rheumatoid arthritis Infection - tuberculosis or pyogenic infections Clinical presentation Clinical features depend on extent and rate of development of cord compression Motor symptoms include easy fatigue and gait disturbance Cervical spine disease produces quadriplegia Thoracic spine disease produces paraplegia Lumbar spine disease affects L4, L5 and sacral nerve roots

8. Rural Nurse Organization Clinic Digital Library Clinical Resources by Topic Orthopedics spinal cord compression Clinical Resources Emergency Radiology Clinical Guidelines Clinical Trials News Miscellaneous Resources See also Musculoskeletal Clinical Procedure Resources General http://ruralnurseorganization-dl.slis.ua.edu/clinical/orthopedics/spinal-cord-co

Clinical Resources by Topic: Orthopedics Spinal Cord Compression Clinical Resources Emergency Radiology Clinical Guidelines Clinical Trials ... Miscellaneous Resources See also: Musculoskeletal Clinical Procedure Resources General Orthopedics Clinical Resources Spinal Cord Compression Patient/Family Resources Wheeless' Textbook of Orthopaedics: Table of contents Spine Index: List of documents Anterior Cord Syndrome: Access document Central Cord Syndrome: Access document Compression Fractures: Access document The Merck Manual 17th Ed.-1999: Table of contents Chapter 182: Spinal Cord Disorders: Table of contents General: Access document Spinal Cord Compression: Access document General Medical Officer (GMO) Manual - January 2000 Revision: Table of contents Clinical Section: Table of contents Low Back Pain: Access document CliniWeb: Homepage (includes links to targeted PubMed MEDLINE searches) Spinal Cord Compression: List of documents Back Pain: List of documents Back: List of documents Emergency Medicine Resources See also General Emergency Medicine Resources General Medical Officer (GMO) Manual - January 2000 Revision: Table of contents Clinical Section: Table of contents Spinal Emergencies: Access document Radiology Resources See also General Radiology Resources Radiographic Anatomy of the Skeleton (UW Radiology): Table of contents Lumbar Spine: Table of contents MedPix Medical Image Database: Homepage Spine List of documents Flexion Compression Fracture of T-12, Resulting in cord Compression with Contusion as Well as Traumatic T11-T12 Disc Herniation:

9. What Is Spinal Cord Compression?, Ask Cancerbacup What is spinal cord compression? There are many different causes of spinal cordcompression including injuries, and 'slipped discs' as well as cancer. http://www.cancerbacup.org.uk/questions/specific/secondary/spinal/spinal-cord-co

Cancer Information Personalised Information ... of terms Questions and answers As a charity, we rely on voluntary contributions to provide this information. If you would like to make a donation to assist us in our work, click here Q. What is spinal cord compression? Answer from CancerBACUP nurses and cancer specialists January 13, 2001 A. The spinal cord is the great nerve that runs from the base of the brain to the bottom of the back. Throughout its length it lies in a canal within the vertebrae, the bones of the spine, which protect the sensitive nerve tissue. As it passes through each of the vertebrae the spinal cord gives off the roots of nerves which pass through holes in the vertebrae. These nerve roots go on to form the nerves supplying all the muscles and skin of the various parts of the body. Different parts of the spinal cord supply the nerves for different parts of the body, for example the part of the cord which lies in the neck and upper chest provides the nerves for the arms whereas the nerves for the leg come from part of the cord which lies in the lower part of the back , the lumbar spine. Spinal cord compression is any condition that causes pressure on the spinal cord, leading to narrowing or distortion of the nerve tissue. There are many different causes of spinal cord compression including injuries, and 'slipped discs' as well as cancer.

10. Spinal Cord Compression spinal cord compression. Department of Neurosurgery. Index. For a printed versionplease download file spinal cord compression.doc. Symptoms Signs Pain . . . . http://medweb.bham.ac.uk/neurosurgery/Cord.html

Spinal Cord Compression Department of Neurosurgery Index Neurosurgery Home Page Teaching Index Brain Tumours Acute Neurosurgical Deterioration ... Head Injury Spinal Cord Compression Subarachnoid Haemorrhage Neurosurgical Scales Undergraduate Medicine ( MB ChB ) 4th Year Neurosurgical Notes For a printed version please download file SPINAL CORD COMPRESSION.doc Depends on 1. Site and nerve roots 2. Speed of onset 3. Pathological cause 4. Involvement of blood supply - level of progression PAIN bone muscle root central - involvement - spasm - lumbargirelle - dull ache DEFICIT weakness sensory level sphincter - UMN / LMN - painless retention Commonest causes Extradural 1. Metastatic tumour

11. Dr. Rosner, Spinal Cord Compression And FMS Dr. Rosner Leads the Way with other medical doctors to show the Relationshipof spinal cord compression to FMS. To Site Map. Dear Friends,. http://www.fibromyhelp.com/Rosnerneck.html

Dr. Rosner Leads the Way with other medical doctors to show the Relationship of Spinal Cord Compression to FMS To Site Map Dear Friends, Sincerely, Rae Marie Gleason, Jack Scott, and Jodi Bolliger of the National Fibromyalgia Research Association Decompression of Craniovertebral Stenosis Leads to Improvement in FMS and CFIDS Symptoms Michael J Rosner, MD, FACS, FCCM aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Neurally Mediated Hypotension: Its surgical evaluation, management and early outcome as part of the Fibromyalgia. Chronic Fatigue Syndrome Michael J. Rosner, MD; Peter D. Amour, MD and Peter C. Rowe, MD Introduction: Correlation of MRI findings in those patients with FMS and CFIDS is difficult, in part due to wide variations in the population carrying these diagnoses. Because the subset of patients with NMH is rigorously defined by tilt table and other objective abnormalities and also may carry the diagnosis of FMS and/or CFIDS, we analyzed their clinical symptoms, signs and MR findings. The latter was especially of concern since the radiological confirmation of structural disease in the FMS CFIDS population is often vague, elusive and has significant overlap with asymptomatic patients.

12. Spinal Cord Compression spinal cord compression. This is a major medical oncology emergencythat can happen in any patient who has advanced cancer. Delay http://www.tirgan.com/cordcom.htm

Home Services Contact Links ... Chemotherapy Drugs Spinal Cord Compression This is a major medical oncology emergency that can happen in any patient who has advanced cancer. Delay in diagnosis and appropriate treatment of this condition can result in permanent paralysis, loss of bladder and bowel function. This condition is due to the spread of cancer to the spine and tissues around the spinal cord that may result in compression of spinal cord. Signs and Symptoms: Pain in the back or radiating from the back. Pain can be exacerbated by coughing or movement. Loss of sensation in lower part of the body Retention of urine Bowel and bladder dysfunction, incontinence Diagnosis This is achieved by CT Scan or MRI of the Spine. Treatment: Treatment of this condition should be started promptly by one or several of the following methods: Radiation therapy Steroids Chemotherapy Surgery If cancer patients have any signs or symptoms of cord compression, they should contact their medical oncologist or their primary medical doctor so that treatment may begin immediately. The success of treatment depends on how early the intervention begins. Sometimes a tissue diagnosis is required. A neurosurgeon or another specialist will take a

13. WSAVA 2001 - Basic Principles Of Spinal Cord Compression Basic Principles of spinal cord compression. Joane Parent Canada. Spinal InIVDD, there is spinal cord compression without instability. The http://www.vin.com/VINDBPub/SearchPB/Proceedings/PR05000/PR00213.htm

Basic Principles of Spinal Cord Compression Joane Parent Canada Spinal cord diseases are frequent in the dog. To review the basic principles of lesion localization as it relates to the spinal cord, intervertebral disc disease has been used as model. In IVDD, there is spinal cord compression without instability. The spinal cord is composed of an outer layer of white matter and a core of gray matter. The white matter is made of axons while the gray matter is composed of cell bodies. Clinically, lesions that are limited to the gray matter behave similarly to lesions of the peripheral nervous system. It is the involvement of the white matter that leads to clinical signs of spinal cord disease. Anatomical considerations (spinal cord white matter) Ascending sensory fibers: Proprioceptive fibers A.   Reflex proprioceptive pathways:                 Hind limbs: Dorsal and ventral spinocerebellar                Fore limbs: Rostral spinocerebellar B.   Conscious proprioceptive pathways:                Hind limbs: Fasciculus gracilis                Fore limbs: Fasciculus cuneatus                Nociception (pain perception) fibers Descending motor fibers (Upper Motor Neurons):                               Reticulo-spinal tracts                               Vestibulo-spinal tracts                               Rubro-spinal tracts                               Cortico-spinal tracts Clinical signs associated with involvement of the spinal cord ascending sensory pathways: a. Proprioceptive ataxia

14. Health Ency.: Disease: Spinal Cord Trauma Alternative names spinal cord compression; Spinal cord injury; Compressionof spinal cord. Definition Spinal cord trauma is damage http://www.accessatlanta.com/shared/health/adam/ency/article/001066.html

SEARCH: The Web Yellow Pages HOME AJC.COM Illustrated Health Encyclopedia Important notice Ency. home Disease S Spinal cord trauma Overview Symptoms Treatment Prevention Alternative names: Spinal cord compression; Spinal cord injury; Compression of spinal cord Definition: Spinal cord trauma is damage to the spinal cord that results from direct injury to the spinal cord itself or indirectly by damage to the bones and soft tissues and vessels surrounding the spinal cord. Causes and Risks Damage to the spinal cord affects all nervous function that is controlled at and below the level of the injury, including muscle control (strength) and sensation. More than 30 bones make up the spine. These bones (vertebrae) and the cushions between the vertebrae (discs) allow the back to bend while protecting the spinal cord from injury. Spinal cord trauma is caused by motor vehicle accidents, falls, sports injuries (particularly diving into shallow water), industrial accidents, gunshot wounds, assault, and other injuries. A seemingly minor injury can cause spinal cord trauma if the spine is weakened (such as from rheumatoid arthritis or osteoporosis Direct injury such as cuts can occur to the spinal cord, particularly if the bones or the discs are damaged. Fragments of bone (from fractured vertebrae for example) or fragments of metal (such as from a traffic accident) can transect (cut) or damage the spinal cord. Direct damage can also occur if the spinal cord is pulled, pressed sideways, or compressed. This may occur if the head, neck, or back are twisted abnormally during an accident or injury.

15. Health Ency.: Disease: Spinal Cord Trauma Alternative names spinal cord compression; Spinal cord injury; Compressionof spinal cord. Treatment. A spinal cord trauma is a medical http://www.accessatlanta.com/shared/health/adam/ency/article/001066trt.html

SEARCH: The Web Yellow Pages HOME AJC.COM Illustrated Health Encyclopedia Important notice Ency. home Disease S Spinal cord trauma Overview Symptoms Treatment Prevention Alternative names: Spinal cord compression; Spinal cord injury; Compression of spinal cord Treatment A spinal cord trauma is a medical emergency requiring immediate treatment to reduce the long-term effects. The time between the injury and treatment is a critical factor affecting the eventual prognosis (probable outcome). Corticosteroids such as dexamethasone or methylprednisolone are used to reduce swelling that may compress the spinal cord. If spinal cord compression can be relieved before there is total destruction of the nerves of the spine, paralysis may in some cases be reduced or relieved. Ideally, corticosteroids should begin within 8 hours after the injury. Surgery may be recommended. This may include surgery to remove fluid or tissue that presses on the spinal cord (decompression laminectomy). Surgery may be needed to remove bone fragments, disc fragments or foreign objects or to stabilize fractured (broken) vertebrae (by fusion of the bones or insertion of hardware). Bedrest may be needed to allow the bones of the spine, which bears most of the weight of the body, to heal.

16. Epidural Metastases/Spinal Cord Compression 2.3.2 Epidural Metastases/spinal cord compression. Signs of spinal cord compressioninclude motor, sensory, and autonomic bladder and bowel) dysfunction. http://www.stat.washington.edu/TALARIA/LS2.3.2.html

2.3.2 Epidural Metastases/Spinal Cord Compression Epidural metastasis is the most ominous complication of bone metastasis to the vertebral spine and is a medical emergency. Failure to diagnose and treat this condition will lead to permanent necrologic deficits due to spinal cord dysfunction. Early diagnosis, before overt necrologic deficits, should result in improved outcome (Byrne, 1992) . Epidural metastasis is a common complication in patients with breast, prostate, or lung cancer; multiple myeloma; renal cell carcinoma; or melanoma. The tumor enters the-epidural space by contiguous spread from adjacent vertebral metastasis in the vast majority of cases (Rodriguez and Dinapoli, 1980) . Th.html# remaining cases arise from the direct invasion of retroperitoneal tumor or tumor located in the posterior thorax through adjacent intervertebral foramina or, rarely, from bloodborne seeding of the epidural space. The pain is usually midline, but patients whose tumor involves nerve roots have sharp or shooting pain in a radicular distribution. Untreated, the pain slowly intensifies with a mean duration of 7 weeks from the onset of pain to the onset of necrologic deficits due to spinal cord compression (Gilbert, Kim, and Posner, 1978)

17. MEDLINEplus Medical Encyclopedia: Spinal Cord Trauma Alternative names Return to top spinal cord compression; Spinal cordinjury; Compression of spinal cord. Definition Return to top http://www.nlm.nih.gov/medlineplus/ency/article/001066.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Spinal cord trauma Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Vertebra and spinal nerves Alternative names Return to top Spinal cord compression; Spinal cord injury; Compression of spinal cord Definition Return to top Spinal cord trauma is damage to the spinal cord that results from direct injury to the spinal cord itself or indirectly by damage to the bones and soft tissues and vessels surrounding the spinal cord. Causes, incidence, and risk factors Return to top Damage to the spinal cord affects all nervous function that is controlled at and below the level of the injury, including muscle control (strength) and sensation. More than 30 bones make up the spine. These bones (vertebrae) and the cushions between the vertebrae (discs) allow the back to bend while protecting the spinal cord from injury. Spinal cord trauma is caused by motor vehicle accidents, falls, sports injuries (particularly diving into shallow water), industrial accidents, gunshot wounds, assault, and other injuries. A seemingly minor injury can cause spinal cord trauma if the spine is weakened (such as from rheumatoid arthritis or osteoporosis Direct injury such as cuts can occur to the spinal cord, particularly if the bones or the discs are damaged. Fragments of bone (from fractured vertebrae for example) or fragments of metal (such as from a traffic accident) can transect (cut) or damage the spinal cord. Direct damage can also occur if the spinal cord is pulled, pressed sideways, or compressed. This may occur if the head, neck, or back are twisted abnormally during an accident or injury.

18. MEDLINEplus Medical Encyclopedia: Spinal Cord Abscess A neurologic examination may indicate spinal cord compression, with involvement ofthe lower body (paraplegia) or the entire trunk, arms, and legs (quadriplegia http://www.nlm.nih.gov/medlineplus/ency/article/001405.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Spinal cord abscess Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Central nervous system Alternative names Return to top Abscess - spinal cord Definition Return to top A disorder characterized by inflammation and a collection of infected material (pus) around the spinal cord. Causes, incidence, and risk factors Return to top A spinal cord abscess is caused when infection occurs within the internal areas of the spine. An abscess of the spinal cord itself is very, very rare. A spinal abscess usually occurs as spinal epidural abscess . Pus forms as a collection of fluid, destroyed tissue cells, white blood cells, and live and dead microorganisms. The pus commonly becomes encapsulated (enclosed) by a lining or membrane that forms around the edges. The pus collection ( abscess ) causes pressure on the spinal cord. The infection may cause inflammation and swelling , which also compresses the spinal cord.

19. Prostate Cancer - Management Of Disease - Spinal Cord Compression Advice spinal cord compression Although generally an uncommon symptom, spinal cordcompression can be a common complication in metastatic prostate cancer. http://www.cancerlineuk.net/mainnav1/s_prostatecancer71/s_prostatecancer_manag81

var xspacer_image = '../../../../../images/spacer.gif'; var xmsg = 'You are now leaving the AstraZeneca UK site. Medical information including licensed uses and availability may be different outside of the UK. For current UK information, please refer to www.AstraZeneca.co.uk';var xpath_to_site_root = '../../../../../'; CONTACT US SEARCH LEGAL INFORMATION PRIVACY STATEMENT Prostate cancer - Management of disease Advice Spinal cord compression Cord compression by spinal tumour deposits is a serious occurrence and urgent action is required to prevent the development of paraplegia. Although generally an uncommon symptom, spinal cord compression can be a common complication in metastatic prostate cancer. Symptoms include the sudden onset of back pain or exacerbation of existing back pain together with leg weakness, altered or painless loss of sensation, leg pain and difficulty passing urine. Any patient with suspected spinal cord compression should be admitted as an emergency for investigation and treatment. Once paralysed, only 5% walk again. 30% of patients survive to1 year. Action should be taken, irrespective of neurological findings. Dexamethasone 4mg q.d.s. should be started immediately to reduce oedema around the tumour and the patient sent for urgent magnetic resonance imaging of the spine. Treatment options are surgical decompression or radiotherapy.

20. Prostate Cancer - Staging And Prognosis - Spinal Cord Compression spinal cord compression spinal cord compression by tumour is one ofthe most serious consequences of metastatic prostate cancer. http://www.cancerlineuk.net/mainnav1/s_prostatecancer71/s_prostatecancer_stagi78

var xspacer_image = '../../../../images/spacer.gif'; var xmsg = 'You are now leaving the AstraZeneca UK site. Medical information including licensed uses and availability may be different outside of the UK. For current UK information, please refer to www.AstraZeneca.co.uk';var xpath_to_site_root = '../../../../'; CONTACT US SEARCH LEGAL INFORMATION PRIVACY STATEMENT Prostate cancer - Staging and prognosis Spinal cord compression Spinal cord compression by tumour is one of the most serious consequences of metastatic prostate cancer. Usually associated with sudden onset of back pain or exacerbation of existing back pain, the patient develops leg weakness, loss of sensation, leg pain and difficulty passing urine. If these occur in a patient with metastatic prostate cancer, urgent action is required, since established paraplegia is usually irreversible. Once paralysed, only 5% walk again. 30% of patients survive to 1 year. Updated March 2002  to top     Prostate cancer Incidence Symptoms / History Investigations Differential diagnosis ... CANCER LINKS

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