Metastatic epidural spinal cord compression is also known as or subsumes Metastatic extradural spinal cord compression. -ed.
In this clinical article, Dr. Harry Greenberg of the University of Michigan and Wayne State University reviews the diagnosis and treatment of metastatic epidural spinal cord compression, a neurologic emergency because of the inevitable natural history of lower extremity paralysis and bowel and bladder dysfunction. A randomized study of lesion-directed surgery plus radiation versus radiation alone is cited. Dr. Greenberg includes information on recent articles for the treatment of metastatic spinal cord compression with stereotactic radiosurgery