Management of epidural cauda XXXX by radiotherapy.

@entity1 @entity172 @entity1690 @entity263 @entity12194 @entity158
OBJECTIVE: @entity263 affection of the cauda equina (SPCCE) can be an ultimate cause of morbidity and mortality. Since the results of management of this particular disease condition remain largely unknown, a retrospective case review was undertaken to determine the effects of treatment by radiation in SPCCE @entity1 . METHODS: The records of 12 @entity1 with SPCCE treated at the Division of Therapeutic Radiology during the period 1984 to 1998 were reviewed. The administered total radiation dosage ranged from 6 Gy to 32 Gy (average, 26.6 +/- 2.0 Gy). Two individuals underwent decompressive laminectomy and bilateral orchiectomy at the time of SPCCE and @entity263 diagnoses. Ten @entity1 had prior hormonal manipulative treatment (orchiectomy, @entity172 , or @entity12194 therapy). RESULTS: @entity158 was relieved in three of four symptomatic @entity1 (75%). Five of nine @entity1 unable to walk before therapy could walk after treatment. One of two individuals with anal or bladder @entity1690 improved following irradiation. The overall mean duration of survival was five months. With treatment, survival was approximately three times as long for ambulatory versus non-ambulatory @entity1 . CONCLUSION: We conclude that radiation treatment is efficacious in promoting palliation of SPCCE, although it may not prolong life.
