First Symptom in neoplastic epidural spinal cord compression

First Symptom in neoplastic epidural spinal cord compression

What symptom is usually the first reported in neoplastic epidural spinal cord compression? 

Pain is usually the first and most common (80% to 90%) symptom of neoplastic epidural spinal cord compression.

Other possible symptoms include weakness, sensory findings, bladder/bowel dysfunction, and ataxia. Neoplastic epidural spinal cord compression most frequently is located in the thoracic spine.

Approximately 60% of cases occur in the thoracic spine, 30% in the lumbosacral spine, and 10% in the cervical spine.

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