The complications arising from the presence of malignancy near the spinal cord can be difficult to recognise. Nicola James and David Brooks outline the symptoms and stress the importance of early treatment and rehabilitation

Metastatic spinal cord compression (MSCC) occurs when cancer cells grow in or near to the spine and press on the spinal cord and nerves. This results in swelling and a reduction in the blood supply to the spinal cord and nerve roots. Neurological disability may result. This article highlights the need for prompt symptom recognition, fast diagnosis, immediate, appropriate treatment and rehabilitation. It also discusses the development of a patient information leaflet on MSCC.