Spinal Cord Compression from Epidural Metastases

Byrne, Thomas N.

doi:10.1056/nejm199208273270907

Cited by 382 publications

(50 citation statements)

References 47 publications

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“…Это обусловлено тем, что боли могут являться первым признаком патоло-гического перелома или формирования остеолитического очага [1, 4,17]. Их раннее выявление позволяет принять меры по предупреждению дальнейшего смещения кост-ных отломков и предотвратить развитие корешковой ком-прессии или миелопатии [10,11].…”

Section: Discussionunclassified

“…Компрессия спинного мозга и/или его корешков вы-является у 10-20% больных с ММ [10][11][12]. Компрессия наблюдается при солитарной плазмоцитоме в случае эпи-дуральной локализации и/или компрессионных перело-мах тел позвонков при остеодеструкции их кортикального слоя [10,11].…”

unclassified

“…Компрессия наблюдается при солитарной плазмоцитоме в случае эпи-дуральной локализации и/или компрессионных перело-мах тел позвонков при остеодеструкции их кортикального слоя [10,11]. Более редкими причинами служат амилоид-ная опухоль при ММ и спинальная эпидуральная гемато-ма, развивающаяся при эрозии венозного сплетения мие-ломными клетками.…”

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Clinical characteristics of pain syndrome in patients with multiple myeloma

Stamo¹,

Grigorieva²

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Section: Discussionunclassified

unclassified

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Clinical characteristics of pain syndrome in patients with multiple myeloma

Stamo¹,

Grigorieva²

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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“…The vertebral column is the most common site of skeletal metastases and is involved in approximately 40% of cancer-related deaths [1] [2] [3] [4]. Spinal epidural neoplastic metastases as the initial clinical manifestation of cancer comprise 20% of all new diagnoses of spinal epidural metastases [5] [6], and the cumulative probability of spinal cord compression caused by malignant disease in the 5 years preceding death from cancer is 2.5% [6] [7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Spinal Metastasis in Neurosurgical Procedures: A Descriptive Study

Daniel¹,

Veiga²

2016

OJEpi

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Objective: This study sought to identify the prevalence of operations for spinal epidural neoplastic metastases relative to other spine and neurosurgical operative procedures. Methods: This study was descriptive and involved a retrospective review of data collected from patients who underwent neurosurgeries between February 1997 and January 2015 at a single quaternary hospital. The examined population was distributed across five descriptive categories to perform numerical distributions among neurosurgical operative procedures. Results: A total of 12,802 neurosurgical procedures were identified. These procedures were classified as follows: Skull and brain,11,192 (87.42%); spinal column and spinal nervous tissue, 1462 (11.42%); and peripheral nerves, 148 (1.16%). Surgical procedures for the 1462 (100%) cases of spinal column and spinal nervous tissue diseases were distributed by nosology as follows: Degenerative intervertebral disk and spondylosis, 768 (52.54%); neoplastic, 279 (19.08%); traumatic, 221 (15.11%); congenital, 163 (11.14%); infectious and inflammatory, 27 (1.85%); and vascular, 4 (0.28%). With respect to the distribution of the 279 (100%) surgical procedures for spinal column and spinal nervous tissue neoplastic diseases, 124 (44.44%) procedures were for intradural neoplasms, and 155 (55.56%) procedures were for epidural spinal column neoplasms. The 155 (100%) operations for epidural neoplastic diseases were distributed into two groups: Primary epidural neoplasms, 42 (27.10%); and secondary epidural neoplasms, 113 (72.90%). Spinal column epidural neoplastic metastases (secondary neoplasms) represented 0.88% of the 12,802 neurosurgical procedures. Conclusions: Surgical procedures for spinal metastasis are uncommon with respect to all neurosurgical operative procedures. Trend analysis reveals an unchanging trend of prevalence for these procedures.

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“…In these conditions, routine lumbar puncture can be postponed or performed under neurological supervision. 8 CSF analysis can guide to find out the spinal tuberculosis. Paraplegia due to tuberculosis meningitis have CSF with raised proteins, reduced sugar and lymphocytes.…”

Section: Introductionmentioning

confidence: 99%

Pattern Of Spinal Tuberculosis At Liaquat University Hospital, Hyderabad/Jamshoro

2006

J Liaquat Uni Med Health Sci

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Spinal Cord Compression from Epidural Metastases

Cited by 382 publications

References 47 publications

Clinical characteristics of pain syndrome in patients with multiple myeloma

Clinical characteristics of pain syndrome in patients with multiple myeloma

Prevalence of Spinal Metastasis in Neurosurgical Procedures: A Descriptive Study

Pattern Of Spinal Tuberculosis At Liaquat University Hospital, Hyderabad/Jamshoro

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