Compression médullaire en oncologie

  • Z. Fadoukhair
  • I. Lalya
  • M. Amzerin
  • N. Ismaili
  • R. Belbaraka
  • Y. Bensouda
  • S. Elmajjaoui
  • S. Boutayeb
  • N. Benjaafar
  • B. K. El Gueddari
  • H. M’rabti
  • H. Errihani
Article Original / Original Article
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Résumé

La compression médullaire d’origine métastatique est une complication assez fréquente en oncologie. C’est une urgence diagnostique et thérapeutique. Le pronostic fonctionnel, la survie et la qualité de vie du patient dépendent essentiellement de la précocité du diagnostic et de la rapidité de la prise en charge. Il ne faut surtout pas attendre l’apparition des troubles neurologiques pour démarrer le traitement. L’IRM médullaire reste l’examen clé dans le diagnostic de la compression médullaire. La prise en charge thérapeutique doit être impérativement pluridisciplinaire et inclut la corticothérapie, la radiothérapie (RTH) et la chirurgie en fonction des indications.

Mots clés

Compression médullaire métastatique IRM Corticostéroïdes Radiothérapie Neurochirurgie Urgence 

Malignant spinal cord compression

Abstract

Malignant spinal-cord compression (MSCC) is a common complication in oncology. It is an emergency diagnosis and therapeutic. The functional outcome, survival, and quality of life of the patient depend mainly on early diagnosis and rapid management. It is important to start treatment before the onset of neurological disorders. Spinal cord MRI remains the key examination in the diagnosis of spinal cord compression. The therapeutic management should be multidisciplinary and includes steroids, radiation and surgery according to indications.

Keywords

Metastatic spinal cord compression MRI Corticosteroids Radiotherapy Neurosurgery Emergency 
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Copyright information

© Springer Verlag France 2012

Authors and Affiliations

  • Z. Fadoukhair
    • 1
  • I. Lalya
    • 2
  • M. Amzerin
    • 1
  • N. Ismaili
    • 1
  • R. Belbaraka
    • 1
  • Y. Bensouda
    • 1
  • S. Elmajjaoui
    • 2
  • S. Boutayeb
    • 1
  • N. Benjaafar
    • 2
  • B. K. El Gueddari
    • 2
  • H. M’rabti
    • 1
  • H. Errihani
    • 1
  1. 1.Service d’oncologie médicaleInstitut national d’oncologieRabatMaroc
  2. 2.Service de radiothérapieInstitut national d’oncologieRabatMaroc

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