Authors: | Portenoy, R. K.; Lipton, R. B.; Foley, K. M. |
Article Title: | Back pain in the cancer patient: An algorithm for evaluation and management |
Abstract: | Epidural spinal cord compression is common in patients with metastatic cancer. Back pain is usually the first symptom and may be present for months before neurologic abnormalities occur. A favorable outcome depends on early diagnosis and treatment. For the management of this problem, we propose an algorithm that begins with the treatment of patients who need emergency care and proceeds with an orderly approach to the evaluation of less urgent cases. The central elements include the criteria for myelography and the rational use of corticosteroids, radiation therapy, and surgery. © 1987 American Academy of Neurology. |
Keywords: | metastasis; radiotherapy; algorithms; central nervous system; backache; algorithm; diagnosis; spinal cord compression; spinal neoplasms; surgery; corticosteroid; therapy; spinal cord neoplasms; epidural space; myelography; emergencies; back pain; cancer; human; priority journal |
Journal Title: | Neurology |
Volume: | 37 |
Issue: | 1 |
ISSN: | 0028-3878 |
Publisher: | Lippincott Williams & Wilkins |
Date Published: | 1987-01-01 |
Start Page: | 134 |
End Page: | 138 |
Language: | English |
DOI: | 10.1212/wnl.37.1.134 |
PUBMED: | 2948135 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Review -- Export Date: 5 February 2021 -- Source: Scopus |