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Spinal Cord Compression
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> oncological emergency affects up to 5% of cancer patients Mostly Extradural compression accounts for the majority of cases, usually vertebral body metastases more common with lung, breast and prostate cancer ''Features'' back pain - the earliest and most common symptom - may be worse on lying down and coughing lower limb weakness sensory changes: sensory loss and numbness neurological signs depend on the level of the lesion... >L1 UMN legs and sensory level usually <L1 LMN legs and perianal numbness Tendon reflexes tend to be increased below the level of the lesion and absent at the level of the lesion ''Management'' high-dose oral dexamethasone urgent oncological assessment for consideration of radiotherapy or surgery
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Cancer, Neurology