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The sudden onset of myelopathy secondary to spinal metastasis is a true neurologic emergency.
These observations have been taken to support the hypothesis that the disorder is a type of cervical myelopathy .
If the diagnosis is not clear, or there are diffuse symptoms, consider doing a full neurological examination to rule out causes such as peripheral neuropathy and cervical myelopathy .
The clinical features vary widely and may resemble myelopathy , radiculopathy, muscle disease, or even hyperventilation.
Common signs and symptoms include vertigo, thoracic myelopathy with leg weakness, confusion, headache and hemiparesis.
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