Be alert to possible spinal cord compression in patients who are at risk and who present with warning signs and symptoms
Maintain a low threshold for further investigation of such patients and for discussing them with specialist colleagues
If MSCC is suspected, commence high dose steroids (16mg dexamethasone orally in the morning) immediately
Ensure imaging to confirm diagnosis of MSCC is carried out within 24 hours of clinical suspicion
Ensure prompt treatment within 24 hours of diagnosis
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