EMERGENZE IN ONCOLOGIA
EMERGENZE IN ONCOLOGIA
EMERGENZE IN ONCOLOGIA
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SP<strong>IN</strong>AL CORD COMPRESSION<br />
SIGNS AND SYNTOMS<br />
Spinal cord compression causes back pain, usually before<br />
neurologic deficits occur. Neurologic deficits are related to<br />
the spinal level of compression and include the following:<br />
1. Numbness<br />
2. Loss of urethral, vaginal and rectal sensation<br />
3. Muscle weakness (75% of patients), and autonomic and<br />
sensory symptoms(50%)<br />
4. If paralysis occurs, it is usually permanent.<br />
5. Valsalva maneuvers, such as coughing, sneezing, or<br />
straining, may exacerbate radicular back pain.
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