1. PROF.DR.K.H.NOORUL AMEEN’S UNIT M6 DR.RAKESH PINNINTI An Interesting case of Paraplegia

8. Patient picture 1

10. Patient picture 2

18. MRI SPINE

19. C

22. Histopathology pic 1

25. Histopathology pic 2

31. Locations of metastatic lesions of the spine

36. Flowchart for initial workup of patient with suspected spinal metastatic disease The median survival for patients ambulatory prior to RT is eight to ten months compared to two to four months for those who are nonambulatory. For those who remain nonambulatory at the conclusion of RT, the median survival is only one month

38. Flowchart for management of spinal metastatic disease

41. Thank you