Spinal Cord Injury.pdf

Spinal Cord Injury  Spinal Cord Injury o Neuro deficit dependent the level of the on injury Spinal Injury Stats onaryh...

Spinal Cord Injury  Spinal Cord Injury o Neuro deficit dependent the level of the on injury Spinal Injury Stats onaryhalfcurngemfemalea · Incomplete Tetraplegia ;90 6%. · Incomplete Paraplegia ; 187%. Complete paraplagia ; 18 % · Complete tetraplegia ill 6 % ·. vertebral anatomy review ocervical - 7 Thoracic-12 · Lumbar · - S  Spinal Cord Anatomy & from the brain tracts are taking messages Descending to the muscle eximoving hand D the brain Ascending tract is bringing messages to exitouching hot store* ~ -  Incomplete Spinal Lord Injuries * · Spinal cord or injury with some preserved below the level of the motor sensory injury  Central Lord Syndrome * · Most common injury Elderly with minor extension injury cervical Spondylosis -usually preexisting Findings · - motor deficit warse in upper extremity vs lower extremity -hands more than arms XayFracture/dislocation · · CT showos a narrow spinal canal · MRI Hematoma, impingement from bone or intravertebral disc MRI Xray  Anterior Cord Syndrome * Injury by direct compression of anterior cord · cause anterior Spinal or Artery ~ Flexion/Compression Injury Exam · L Loss of motor and pain (Perserve proprioception and vibratory senses  * Posterior Cord Syndrome overy rare Exam - loss of proprioception (movement) preserve motor, pain light touch - , D Brown-sequard Syndrome acord hemitransection penetrating trauma ex: stab or gun womb  Sciwora Syndrome Spinal Cord · & most often Injury without Radiologic Abnormality in pediatric 23 of severe cervical injuries in children- Due to elasticity of spine causes ransverseatanligament injuryareaps Hyperextension injury - Radiology Xray i no ex noted - of exclusion diagnosis - MRI Lmoreanatomic diagnosis showing howhage or deis Pseudosubluxationanterior displacement up to & mm Treatment -spinal immobilization for up to 3wksinalo device  Canda Equina Syndrome* Epidemiology Hil of lumbar disc herniations Symptoms · saddle anesthesia · bilateral lower extremity pain sensorimotor loss in lower extremity · · bladder is bowel symptoms urinary retention - - decreased rectal tone Exam · areflexig or hypoflexia · decreased rectal tone · decreased sensation to perined area  Spina Bifida Occulta · "Clef Spine" ↳ Incomplete development of neural tube -most common neural tube defect in US 4 types · acculta-mildest and most common · 40-20 % of population undetected - Closed Neural Tube malformation of fat ,bone, membranes · - ; meninges and spinal cord protrude Meningocele · to outside world ; most sever ; exposed Myelomeningoele · Usually · found accidently on an abnormal Xray associated rol disability or symptoms Rarely · · Hair patchifatty lump ; hemangioma ; hypo or hyperpigmented Spot isinus tract need MRI Symptomatic ·  Tethered Spinal Cord classic history and exam · aneuvlodisordercausedbysataching · ves ousually requires surgery to detether the cord Watch autonomic dysreflexia video on canvas