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July 1966

Metastatic Spinal Epidural TumorsAn Analysis of 50 Cases

Arch Neurol. 1966;15(1):100-108. doi:10.1001/archneur.1966.00470130104012

METASTATIC tumors to the spinal epidural space are not an infrequent finding. They often present as neurosurgical emergencies with rapidly advancing neurological signs. The results of surgical decompression and the prognosis are some-what variable. It is the purpose of this paper to analyze these variables by reviewing 50 cases of metastatic spinal epidural tumors from two large general hospitals in Miami, Fla. These cases represented both staff and private patients of at least ten neurosurgeons and occurred over a four-year period. Only two cases were lost to follow-up.

Review of Findings 

Age and Sex.—  In this series there is a predominantly male population and an older age group due to the influence of the Veterans Hospital patients. There were only nine female patients in this study (Table 1).

Primary Tumor.—  A wide variety of primary tumors were noted in this study. As expected, a large proportion of these

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