Question

A 64-year-old man with prostate cancer and spinal metastases presents with new onset of bilateral leg weakness, saddle anaesthesia and urinary retention. What is the most appropriate immediate management?

Accepted Answer

Urgent MRI spine and high-dose intravenous steroids, with neurosurgical/oncology referral

Answer

Urgent lumbar spine X-ray only

Answer

Start oral NSAIDs and review in 1 week

Answer

Arrange routine physiotherapy

Answer

Discharge with safety-netting advice

Practice question

A 64-year-old man with prostate cancer and spinal metastases presents with new onset of bilateral leg weakness, saddle anaesthesia and urinary retention. What is the most appropriate immediate management?