Clinical Findings Associated with Epidural Metastases with Spinal Cord Compression

Description

Epidural metastases with compression of the spinal cord may be associated with a number of clinical findings. Some findings are dependent on the level of the spinal cord affected.

Clinical findings associated with epidural metastases with spinal cord compression:

(1) progressive back pain that may worsen when the patient is recumbent or with physical activity

(2) radicular pain that is increased during the Valsalva maneuver

(3) motor weakness

(4) upper neuron signs (positive Babinski sign, hyperreflexia)

(5) sensory deficit (hypoesthesia, paresthesia) several levels above the site of compression

Vertebral Level	Findings
cervical	motor involvement of upper and lower extremities; sciatica in lower extremity
thoracic	motor involvement of lower extremities
lumbar	cauda equina syndrome; motor involvement of lower extremities
sacral	cauda equina syndrome

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Clinical Findings Associated with Epidural Metastases with Spinal Cord Compression

Description

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