Spinal Cord Injury Presentation PDF

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AdvantageousCarnelian858

Uploaded by AdvantageousCarnelian858

Rita A. Dellostritto

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spinal cord injury medical presentation neurology

Summary

This is a presentation on spinal cord injuries, discussing different types of injuries, their characteristics and treatment options. The presentation includes diagrams and statistics on spinal injury occurrence.

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SPINAL CORD INJURY R I TA A. D E L LO S T R I T T O , P H D , R N , E N P , A C N P - B C , FA A N P SPINAL CORD INJURY Neuro deficit dependent on the level of the injury http://25.media.tumblr.com/tumblr_lxgg53JPqS1qgrnh8o1_1280.jpg ...

SPINAL CORD INJURY R I TA A. D E L LO S T R I T T O , P H D , R N , E N P , A C N P - B C , FA A N P SPINAL CORD INJURY Neuro deficit dependent on the level of the injury http://25.media.tumblr.com/tumblr_lxgg53JPqS1qgrnh8o1_1280.jpg SPINAL INJURY STATS Nearly half occur in ages 16-30 Male > Female Level and Extent of Injury Incomplete Tetraplegia – 40.6% Incomplete paraplegia – 18.7% Complete paraplegia – 18% Complete tetraplegia – 11.6% INCOMPLETE TETRAPLEGIA http://www.jmedicalcasereports.com/content/figures/1752-1947-5-529-1.jpg COMPLETE TETRAPLEGIA SPINAL CORD ANATOMY INCOMPLETE SPINAL CORD INJURIES Spinal Cord injury with some preserved motor or sensory below the level of the injury CENTRAL CORD SYNDROME Most common injury Elderly with minor extension injury Usually preexisting cervical spondylosis Findings Motor deficit worse in UE vs LE Hands more than arms http://www.orthobullets.com/spine/2008/incomplete-spinal-cord-injuries CENTRAL CORD SYNDROME Xray Fracture/dislocation Diagnosed with flexion/extension view to evaluate ligaments CT Shows a narrow spinal canal MRI Hematoma, impingement from bone or intravertebral disc CENTRAL CORD SYNDROME http://ajs.sagepub.com/content/34/10/1685/F2.large.jpg ANTERIOR CORD SYNDROME Injury cause by direct compression of anterior cord or anterior Spinal Artery Flexion/Compression injury Exam Loss of motor and pain Preserve proprioception and vibratory senses http://www.orthobullets.com/spine/2008/incomplete-spinal-cord-injuries ANTERIOR CORD SYNDROME http://147.140.2.19:8080/storage/ss2/docs/20100719145335125/MIRCdocument.xml POSTERIOR CORD SYNDROME Very Rare Exam Loss of proprioception Preserve motor, pain, light touch http://www.orthobullets.com/spine/2008/incomplete-spinal-cord- injuries BROWN-SEQUARD SYNDROME Cord hemitransection Penetrating trauma http://www.orthobullets.com/spine/2008/incomplete-spinal-cord-injuries BROWN-SEQUARD SYNDROME Exam http://www.primehealthchannel.com/brown-sequard-syndrome.html STAB WOUND CT http://www.onlinejets.org/articles/2012/5/4/images/ JEmergTraumaShock_2012_5_4_371_102421_f1.jpg MRI http://www.nature.com/sc/journal/v44/n8/images/3101871f2.jpg SCIWORA SYNDROME Spinal Cord Injury without Radiologic Abnormality Most often in pediatric 2/3 of severe cervical injuries in children

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