119 PCN Malignant Epidural Spinal Cord Compression (MESCC)

  • Surgery Indications:
    • Spinal instability
    • Previous RT
    • Worse despite RT
    • Radioresistant tumor
    • Unknown primary
    • Paraplegia less than 48 hrs
    • Single area of compression
  • Steroid dosing: dexamethasone
    • “high dose” – if neuro exam abnormal
      • 96 mg bolus IV, 24 q 6 hr po x 3 days
      • 10 day taper
    • “moderate dose” – all others
      • 10 mg bolus IV, 4 qid
      • 2 week taper

License

Icon for the Creative Commons Attribution-NonCommercial 4.0 International License

Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

Share This Book