0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Radiation Therapy for Paraplegia Due to Multiple Myeloma

William E. Martin, MD; Paul Heller, MD
JAMA. 1965;191(3):247-249. doi:10.1001/jama.1965.03080030091020.
Text Size: A A A
Published online

SPINAL CORD compression has been reported to occur in 6% to 18% of patients with multiple myeloma.1,2 Since paraplegia may be the first manifestation of multiple myeloma, it is important to consider this diagnosis in every patient with cord compression.

Paraplegia in multiple myeloma has frequently been regarded as a strong indication for surgical intervention.3,4 The successful use of radiation therapy alone has been occasionally reported3 but not sufficiently stressed. It is the purpose of this report to reemphasize the potentialities of the latter approach in this clinical situation.

Report of Cases 

Case 1.—  A 54-year-old Negro male was admitted on June 29, 1960, because of backaches of 11 months' duration and weakness and numbness of the lower extremities which began two weeks prior to admission and progressed rapidly.On admission he was well developed and well nourished. The blood pressure was 125/95 mm Hg. He had

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();