Abstract
Predictors of neurological recovery after surgery of metastatic epidural spinal cord compression
Highlights
Metastatic epidural spinal cord compression (MESCC) is a relatively common complication in up to 5 - 14% of patients with cancer
Early surgical decompression is important for neurological recovery in patients with MESCC especially with rapid neurological deterioration
Malignant epidural spinal cord compression (MESCC) is a devastating complication in cancer patients with spinal metastases potentially leading to disability and massive reduction of life extpectancy
Summary
Metastatic epidural spinal cord compression (MESCC) is a relatively common complication in up to 5 - 14% of patients with cancer. The accurate diagnosis is often delayed due to insidious progression of the symptoms and can end in a disastrous neurological outcome with significant motor deficits and loss of ambulation [7]. Some of these patients can be treated non surgically [8,9] the acute onset of a neurological deficit due to MESCC is traditionally considered as an emergency that require an immediate treatment [10]. Despite this widely accepted dogma only few studies examined the impact of time to decompressive surgery on the neurological outcome of patients with MESCC so far [9,11,12]
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