Behandling af metastatisk spinalt tværsnitssyndrom

Christina Federspiel; Søren S Morgen; Morten H Suppli; Claus Kamby; Jesper Kelsen; Martin Gehrchen

Behandling af metastatisk spinalt tværsnitssyndrom

Translated title of the contribution: Treatment of metastatic spinal cord compression

Christina Federspiel, Søren S Morgen, Morten H Suppli, Claus Kamby, Jesper Kelsen, Martin Gehrchen

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Abstract

Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.

Translated title of the contribution	Treatment of metastatic spinal cord compression
Original language	Danish
Article number	V10200725
Journal	Ugeskrift for Laeger
Volume	183
Issue number	33
Number of pages	8
ISSN	0041-5782
Publication status	Published - 16 Aug 2021

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FulltextFinal published version, 654 KBLicence: CC BY-NC-ND

https://content.ugeskriftet.dk/sites/default/files/scientific_article_files/2021-08/v10200725_web.pdf

Cite this

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title = "Behandling af metastatisk spinalt tv{\ae}rsnitssyndrom",

abstract = "Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.",

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AU - Federspiel, Christina

AU - Morgen, Søren S

AU - Suppli, Morten H

AU - Kamby, Claus

AU - Kelsen, Jesper

AU - Gehrchen, Martin

PY - 2021/8/16

Y1 - 2021/8/16

N2 - Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.

AB - Metastatic spinal cord compression is an oncologic emergency, and the most frequent initial symptom is radicular backpain. Urgent diagnostics with acute MRI and early treatment is essential to prevent permanent neurologic damage. Treatment is mainly palliative. For patients who have a good prognosis, the treatment of choice is decompressive surgery followed by radiotherapy, but only few patients are candidates to surgery due to significant comorbidities and poor performance status. Optimal therapy is required to maintain high quality of life at an acceptable risk, as argued in this review.

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KW - Humans

KW - Palliative Care

KW - Quality of Life

KW - Spinal Cord Compression/surgery

KW - Spinal Neoplasms/surgery

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