G95.2
DESCRIPTION
Seen in breast, lung, and prostate cancers, as well as multiple myeloma. Patients present with new back pain that worsens when lying down, late paraparesis, late incontinence, and loss of sensory function.
GENERAL MEASURES
To evaluate level of neurologic function, perform a spinal x-ray or MRI if available.
MEDICINE TREATMENT
- Dexamethasone, IV, 16 mg immediately as a single dose.
- Followed by 4 mg 6 hourly, until transfer.
REFERRAL
Urgent referral to tertiary services with oncology or neurosurgery services.