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Der Onkologe

, Volume 10, Issue 4, pp 345–350 | Cite as

Spinales Kompressionssyndrom

Diagnostik und interdisziplinäre Therapie
  • D. Bottke
  • S. Hammersen
  • S. Höcht
  • W. Hinkelbein
Leitthema

Zusammenfassung

Das metastatisch bedingte akute spinale Kompressionssyndrom stellt eine onkologische Notfallsituation dar. Patienten mit einer entsprechenden Symptomatik (progrediente Rückenschmerzen, Myelonkompressionssyndrome) sollten umgehend in ein Zentrum eingewiesen werden, in dem sowohl eine umfassende Diagnostik als auch die entsprechenden Fachdisziplinen (Neurochirurgie, Strahlentherapie, Orthopädie, Hämatologie, Onkologie) verfügbar sind. Das weitere Vorgehen (chirurgische Intervention ggf. mit postoperativer Strahlentherapie oder sofortige alleinige Strahlentherapie) wird grundsätzlich interdisziplinär und individuell für den jeweiligen Patienten entschieden.

Schlüsselwörter

Kompressionssyndrom Chirurgische Intervention Strahlentherapie 

Spinal cord compression syndrome

Abstract

Acute spinal cord compression syndrome caused by metastases constitutes an oncological emergency. Patients with corresponding symptoms (progressive back pain, spinal cord compression syndrome) should be promptly referred to a center which can offer complete diagnostic tests and has the appropriate departments (neurosurgery, radio-oncology, orthopedics, hematology). On principle, the further course of action (surgical intervention, if necessary followed by postoperative radiotherapy, or immediate radiotherapy alone) should be decided individually for each patient by the interdisciplinary team.

Keywords

Compression syndrome Surgical intervention Radiotherapy 

Notes

Interessenkonflikt:

Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • D. Bottke
    • 1
    • 3
  • S. Hammersen
    • 2
  • S. Höcht
    • 1
  • W. Hinkelbein
    • 1
  1. 1.Klinik für Radioonkologie und Strahlentherapie, Charité, Universitätsmedizin Berlin, Campus Benjamin Franklin
  2. 2.Neurochirurgische Klinik, Charité, Universitätsmedizin Berlin, Campus Benjamin Franklin
  3. 3.Klinik für Radioonkologie und Strahlentherapie, Charité, Universitätsmedizin Berlin, Campus Benjamin Franklin Berlin

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