“…35,48,77 Despite the lack of consensus regarding optimal management of spinal cord metastases, several strategies with varying degrees of success have been documented. Possible treatment options have included external beam radiation therapy (25-60 Gy in 2.5-Gy fractions), 1,5,26,39,46,48,58,60 decompressive surgery (confirmation of diagnosis, pain management), 5,35,36,58,70 intravenous or intrathecal chemotherapy, 5,26,35,36,39,48 corticosteroids and opiates, 1 and prevention of CSF dissemination (stereotactic biopsy, cranial radiotherapy, and delayed tumor resection). 77 Radiotherapeutic treatment of the entire craniospinal axis has also been suggested.…”