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Metastatic spinal cord compression can be due to the debut of cancer or terminally advanced disease, and symptoms are pain, limb weakness, hypoaesthesia and sphincter dysfunction. In patients with a cancer history, metastatic spinal cord compression must be suspected, which is why MRI is necessary. In case of neurological impairment, the patient must consult surgical and oncologic specialists at a university hospital, who can offer the best treatment, i.e. surgery in combination with radiotherapy or radiotherapy alone. Treatment gives hi