Metastatic @entity263 is a common cause of @entity1745 . In this review of 37 @entity1 who underwent laminectomy for this condition this was the first presentation of previously undiagnosed @entity5 in 11 (29%). One year after decompression 17 (50%) were alive. Twenty @entity1 (59%) could walk after laminectomy. All but 8 were relieved of @entity158 and bladder function was improved in 13 (38%). Those ambulant before laminectomy (7) and those with @entity263 did particularly well. Poor results were associated with a rapid onset of paraparesis and pre-operative progression to @entity451 . A delay in diagnosis was detrimental to outcome. A high index of suspicion in @entity1 with @entity263 is essential so that early diagnosis can be made before @entity451 is established. @entity263 must always be excluded in @entity1 with cord compression of unknown aetiology.

@entity1745 and XXXX : is laminectomy justified?

@entity1 :: ('9606', 'Species') :: ['patients', 'men'] @entity263 :: ('MESH:D011471', 'Disease') :: ['occult prostate cancer', 'Carcinoma of the prostate', 'carcinoma of the prostate'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1745 :: ('MESH:D013117', 'Disease') :: ['spinal cord compression'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia']
@entity263 :: (MESH:D011471,Disease) :: ['carcinoma of the prostate']
