spine, and press on the spinal cord and nerves. Sometimes your spinal cord may be compressed directly by a disc or bone causing weakness or numbness (or both) in your arms and legs. There is already one in place for Malignant Spinal Cord Compression. This page has information about symptoms and signs of MSCC, and possible treatment options. Cauda equina syndrome is a rare and severe type of spinal stenosis where all of the nerves in the lower back suddenly become severely compressed. The information is here as a guide for patients and … Depending on the cause of the compression, symptoms may develop suddenly or gradually, and they may require anything from supportive care to emergency surgery. The MSCC Patient Information provides information on what you can expect when you are seen at the RNOH. Symptoms include numbness, pain, and weakness. We manage patients with spinal infections, broken spines as result of accidents, spinal cancers and other emergencies. MSCC is defined as spinal cord or cauda equina compression by direct pressure and/or induction of vertebral collapse or instability by metastatic spread or direct extension of malignancy that threatens or causes neurological disability. A disruption in the blood supply can cause injury or damage to tissues and can block messages (nerve impulses) travelling along the spinal cord. This results in swelling and a reduction in the blood supply to the spinal cord and nerve roots. It can also affect your bowel and bladder control. Malignant Spinal Cord Compression (MSCC) N.B. This can make walking difficult and painful. The information is here as a guide for patients and professionals and will provide useful links to relevant information. 2.1.2. Lumbar decompression surgery is usually only considered if non-surgical treatments for your lower spine haven't worked and symptoms are affecting your quality of life. Local anaesthetic and steroids are injected to help reduce swelling and inflammation. Sciatica on both sides can be a sign of cauda equina, which is a medical emergency. Consultant outcome publication (COP) is an NHS England initiative to increase transparency within the NHS and to provide the public with information on surgical outcomes. Spinal cord compression—also called cervical spondylotic myelopathy (CSM)— is caused by any condition that puts pressure on the spinal cord. Cancer in 1 part of the body, such as the lungs, sometimes spreads into the spine and presses on the spinal cord. The West of Scotland guideline on MSCC is available on the WoSCAN intranet site (NHS network access required) at http://www.intranet.woscan.scot.nhs.uk/, in the Guidelines and Protocols section, then Acute Oncological Guidelines subsection. It sends send messages back and forth from the brain to muscles and soft tissues. Some of the conditions that may be helped by lumbar surgery include: Spinal stenosis is a condition where the space around the spinal cord (the spinal column) narrows, compressing a section of nerve tissue. Without treatment, metastatic spinal cord compression is potentially very serious and can result in permanent paralysis in the legs. This guideline covers detecting and managing metastatic spinal cord compression in adults with cancer that has spread to the spine. Next review due: 23 July 2021, weakness or numbness in both legs that is severe or getting worse, numbness around or under your genitals, or around your anus, finding it hard to start peeing, can't pee or can't control when you pee – and this isn't normal for you, you don't notice when you need to poo or can't control when you poo – and this isn't normal for you, back pain, which may be mild at first, but usually gets worse over time; the pain is constant and often worse at night. If they have any of the symptoms listed then please consider MSCC as a A slipped or herniated disc is where the tough coating of a disc in your spine tears, causing the jelly-like filling in the centre to spill out. spinal cord co-ordinator) if there is one in your area or local hospital. It aims to improve quality of life by promoting early detection and... Read Summary. The minimum radiological evidence for cord compression is indentation of the theca at the level of clinical features Loblaw and Laperriere , 1998 This is called malignant spinal cord compression. May be mild to begin with Lasts for more than 1 - 2 weeks Pain may feel like a 'band'around the chest or abdomen (radicular) The pain is often referred to as sciatica and is sometimes worse when straining, coughing or sneezing. However, if the problems only become apparent late on, many people are too ill to withstand or benefit from surgery. What is malignant spinal cord compression? 15 This is known as metastatic spinal cord compression. We are proud to have launched our MSCC Service, which aims to be a high quality service following the latest guidelines in the treatment of Metastatic Spinal Cord Compression. It's only recommended when non-surgical treatments haven't helped. Spinal cord compression happens when pressure on the spinal cord stops the nerves working normally. Occurrence, symptoms, clinical presentations and prognosis in 398 patients with spinal cord compression. Metastatic spinal cord compression (MSCC) happens when cancer cells grow in or near to the spine and press on the spinal cord. For patients who receive radiotherapy as the definitive treatment for their spinal cord compression, the following discharge letter will be completed and sent with them to their referring ward. Can expect when you are seen at the RNOH which may lead to spinal cord compression )... 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