Spinal Cord Compression
Spinal Neoplasms
Spinal Cord
Spinal Cord Neoplasms
Spinal Cord Injuries
Laminectomy
Thoracic Vertebrae
Epidural Neoplasms
Cervical Vertebrae
Decompression, Surgical
Spinal Cord Diseases
Paraplegia
Hematopoiesis, Extramedullary
Spinal Diseases
Myelography
Scheuermann Disease
Hematoma, Epidural, Spinal
Magnetic Resonance Imaging
Paraparesis
Rheumatic Nodule
Osteochondroma
Balloon Embolectomy
Odontoid Process
Epidural Abscess
Exostoses, Multiple Hereditary
Quadriplegia
Diphosphonates
Arachnoid Cysts
Arachnoid
Tuberculosis, Spinal
Hemangioma
Data Compression
Spinal Fusion
Fractures, Spontaneous
Nerve Compression Syndromes
Treatment Outcome
Spinal Cord Ischemia
Umbilical Cord
Spinal Osteophytosis
Lumbar Vertebrae
Tomography, X-Ray Computed
Recovery of Function
Stockings, Compression
Injections, Spinal
Fatal Outcome
Retrospective Studies
Spinal Nerve Roots
Fractures, Compression
Intervertebral Disc
Osteochondromatosis
Ligamentum Flavum
Spinal Nerves
Neurologic complications of systemic cancer. (1/809)
Neurologic complications occur frequently in patients with cancer. After routine chemotherapy, these complications are the most common reason for hospitalization of these patients. Brain metastases are the most prevalent complication, affecting 20 to 40 percent of cancer patients and typically presenting as headache, altered mental status or focal weakness. Other common metastatic complications are epidural spinal cord compression and leptomeningeal metastases. Cord compression can be a medical emergency, and the rapid institution of high-dose corticosteroid therapy, radiation therapy or surgical decompression is often necessary to preserve neurologic function. Leptomeningeal metastases should be suspected when a patient presents with neurologic dysfunction in more than one site. Metabolic encephalopathy is the common nonmetastatic cause of altered mental status in cancer patients. Cerebrovascular complications such as stroke or hemorrhage can occur in a variety of tumor-related conditions, including direct invasion, coagulation disorders, chemotherapy side effects and nonbacterial thrombotic endocarditis. Radiation therapy is the most commonly employed palliative measure for metastases. Chemotherapy or surgical removal of tumors is used in selected patients. (+info)Neurological complications of neurofibromatosis type 1 in adulthood. (2/809)
Neurofibromatosis type 1 (NF1) is a genetic disease with a wide range of neurological manifestations. To examine these, and to evaluate neurological morbidity in adulthood of patients with NF1, we studied a hospital-based series of 158 patients that included 138 adult patients aged >18 years and 20 children. NF1 evaluation included a multidisciplinary clinical and a clinically oriented radiological investigation. Neurological events occurring during childhood (in both children and adults of the series) and adulthood were recorded. One or several neurological manifestations have been observed in 55% of patients (adults and children) (n = 87). These included: headache (28 patients); hydrocephalus (7); epilepsy (5); lacunar stroke (1); white matter disease (1); intraspinal neurofibroma (3); facial palsy (1); radiculopathy (5); and polyneuropathy (2). Tumours included: optic pathway tumours (20); meningioma (2); cerebral glioma (3); and malignant peripheral nerve sheath tumours (6). Life-threatening complications were observed in five adults and included four malignant peripheral nerve sheath tumours and one meningioma. Pain was the leading symptom in 11 adults and was related to malignant peripheral nerve sheath tumours, complications of intraspinal neurofibromas, subcutaneous neurofibromas and peripheral nerve neurofibromas. NF1 in adults was not associated with other disabling or life-threatening neurological complications. Symptomatic optic pathway tumours, cerebral gliomas, symptomatic aqueductal stenosis and spinal compression due to intraspinal NF were observed exclusively during childhood. In this series, the predominant neurological features of adults with NF1 were chronic pain and malignant peripheral nerve sheath tumours. (+info)A clinico-pathological study of cervical myelopathy in rheumatoid arthritis: post-mortem analysis of two cases. (3/809)
Two patients who developed cervical myelopathy secondary to rheumatoid arthritis were analyzed post mortem. One patient had anterior atlanto-axial subluxation (AAS) combined with subaxial subluxation (SS), and the other had vertical subluxation (VS) combined with SS. In the patient with AAS, the posterior aspect of the spinal cord demonstrated severe constriction at the C2 segment, which arose from dynamic osseous compression by the C1 posterior arch. A histological cross-section of the spinal cord at the segment was characterized by distinct necrosis in the posterior white columns and the gray matter. In the patient with VS, the upper cervical cord and medulla oblongata showed angulation over the invaginated odontoid process, whereas no significant pathological changes were observed. At the level of SS, the spinal cord was pinched and compressed between the upper corner of the vertebral body and the lower edge of the lamina. Histologically, demyelination and gliosis were observed in the posterior and lateral white columns. (+info)Cervical spondylotic myelopathy in elderly people: a high incidence of conduction block at C3-4 or C4-5. (4/809)
OBJECTIVES: To precisely localise the site of conduction block in elderly patients with cervical spondylotic myelopathy in the presence of multilevel compression shown by MRI. METHODS: A total of 44 patients aged 65 and older underwent serial intervertebral recording of spinal somatosensory evoked potentials (SSEPs) from either the intervertebral disc or the ligamentum flavum after epidural stimulation. The site of conduction block identified by abrupt reduction in size of the negative peak was designated as the 0 level with the other levels numbered in order of distance assigning a minus sign caudally. RESULTS: A single site of focal conduction block was disclosed in 42 patients, 23 (55%) at C3-4, 17 (40%) at C4-5, and two (5%) at C5-6. At these levels (0), the amplitude of the negative component was reduced (p<0.0001) to 29% and the area to 22%, with a concomitant increase (p<0.0001) of the initial positive component to 150% in amplitude and 293% in area as compared to the-2 level which was taken as the baseline (100%). CONCLUSIONS: A high incidence (95%) of focal conduction block at C3-4 or C4-5 with normal conduction at C5-6 and C6-7 characterises cervical spondylotic myelopathy in elderly people. Incremental SSEP studies documenting the site of conduction block will help exclude clinically silent cord compression, directing the surgical intervention to the appropriate level of concern. (+info)Upregulation of tumor necrosis factor alpha transport across the blood-brain barrier after acute compressive spinal cord injury. (5/809)
Tumor necrosis factor alpha (TNF) is a cytokine that is involved in the inflammatory process after CNS injury and is implicated in neuroregeneration. A saturable transport system for TNF located at the blood-brain barrier (BBB) is responsible for the limited entry of TNF from blood to the CNS in normal mice. After partial disruption of the BBB by compression of the lumbar spinal cord, permeability to TNF was increased not only in the lumbar spinal cord but also in brain and distal spinal cord segments, where the BBB remained intact. The increase in the entry of TNF to the CNS followed a biphasic temporal pattern, with a first peak immediately after injury and a second peak starting on day 3; these changes lasted longer than the mere disruption of the BBB. The increased entry of TNF was abolished by addition of excess unlabeled TNF, showing that the transport system for TNF remained saturable after spinal cord injury (SCI) and providing evidence that the enhanced entry of TNF could not be explained by diffusion or leakage. This study adds strong support for our concept that the saturable transport system for TNF across the BBB can be upregulated in the diseased state, and it suggests that the BBB is actively involved in the modulation of the processes of degeneration and regeneration after SCI. (+info)Unusual presentation of spinal cord compression related to misplaced pedicle screws in thoracic scoliosis. (6/809)
Utilization of thoracic pedicle screws is controversial, especially in the treatment of scoliosis. We present a case of a 15-year-old girl seen 6 months after her initial surgery for scoliosis done elsewhere. She complained of persistent epigastric pain, tremor of the right foot at rest, and abnormal feelings in her legs. Clinical examination revealed mild weakness in the right lower extremity, a loss of thermoalgic discrimination, and a forward imbalance. A CT scan revealed at T8 and T10 that the right pedicle screws were misplaced by 4 mm in the spinal canal. At the time of the revision surgery the somatosensory evoked potentials (SSEP) returned to normal after screw removal. The clinical symptoms resolved 1 month after the revision. The authors conclude that after pedicle instrumentation at the thoracic level a spinal cord compression should be looked for in case of subtle neurologic findings such as persistent abdominal pain, mild lower extremity weakness, tremor at rest, thermoalgic discrimination loss, or unexplained imbalance. (+info)Successful conservative treatment of rheumatoid subaxial subluxation resulting in improvement of myelopathy, reduction of subluxation, and stabilisation of the cervical spine. A report of two cases. (7/809)
OBJECTIVE: To report the efficacy of conservative treatment with cervical traction and immobilisation with a Halo vest, in two consecutive rheumatoid arthritis patients with progressive cervical myelopathy caused by subaxial subluxation. METHODS: Description of neurological symptoms and signs and findings in plain radiography (PR) and magnetic resonance imaging (MRI) of the cervical spine before and after treatment of the subaxial subluxation by traction and immobilisation with a Halo vest during four months. RESULTS: During four months of traction and immobilisation neurological examination showed a considerable improvement of the signs and symptoms of cervical myelopathy. Afterwards PR and MRI of the cervical spine showed reduction of the subaxial subluxation. Eventually firm stabilisation was obtained in both patients without surgery of the cervical spine. CONCLUSION: Cervical traction and immobilisation with a Halo vest can be considered as an independent conservative treatment in rheumatoid arthritis patients with cervical myelopathy caused by subaxial subluxation. (+info)The value of MR imaging in differentiating between hard and soft cervical disc disease: a comparison with intraoperative findings. (8/809)
The aim of this study is to assess the accuracy of MRI alone in the differentiation of soft cervical disc protrusion from osteophytic compression in cervical disc disease. In a retrospective study, the MRI scans of 41 patients with cervical disc disease, who had previously undergone surgery, were presented to three independent observers, randomly on two different occasions, to identify the accuracy of the diagnosis of the presence of hard or soft disc or both as a cause of compression. The observers (two neurosurgeons and one neuroradiologist) were not involved with the treatment of the cases at any stage and were unaware of the surgical findings. Their observations were compared with those of the surgeon recorded at operation. The intra-observer agreement was poor for diagnosis into three categories as hard or soft disc or both. In distinguishing between the presence or absence of hard disc, there was moderate to good (Kappa = 0.6) intra observer and fair to moderate (Kappa = 0.4) interobserver agreement. The sensitivity of diagnosis of a hard disc was high (87%) but specificity was low (44%), due to the overestimation of the presence of hard disc. There was a significantly higher incidence of hard disc in the elderly age group (76% over the fifth decade, P = 0.0073). It is concluded that MRI alone is not a very efficient diagnostic tool in distinguishing between hard and soft disc in the cervical disc disease. (+info)Spinal cord compression is a medical condition that refers to the narrowing of the spinal canal, which puts pressure on the spinal cord and the nerves that branch out from it. This can occur due to various reasons such as degenerative changes in the spine, herniated discs, bone spurs, tumors, or fractures. The compression can lead to a range of symptoms including pain, numbness, tingling, weakness, or loss of bladder and bowel control. In severe cases, it can cause paralysis. Treatment options depend on the underlying cause and may include physical therapy, medication, surgery, or radiation therapy.
Spinal neoplasms refer to abnormal growths or tumors found within the spinal column, which can be benign (non-cancerous) or malignant (cancerous). These tumors can originate in the spine itself, called primary spinal neoplasms, or they can spread to the spine from other parts of the body, known as secondary or metastatic spinal neoplasms. Spinal neoplasms can cause various symptoms, such as back pain, neurological deficits, and even paralysis, depending on their location and size. Early diagnosis and treatment are crucial to prevent or minimize long-term complications and improve the patient's prognosis.
The spinal cord is a major part of the nervous system, extending from the brainstem and continuing down to the lower back. It is a slender, tubular bundle of nerve fibers (axons) and support cells (glial cells) that carries signals between the brain and the rest of the body. The spinal cord primarily serves as a conduit for motor information, which travels from the brain to the muscles, and sensory information, which travels from the body to the brain. It also contains neurons that can independently process and respond to information within the spinal cord without direct input from the brain.
The spinal cord is protected by the bony vertebral column (spine) and is divided into 31 segments: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. Each segment corresponds to a specific region of the body and gives rise to pairs of spinal nerves that exit through the intervertebral foramina at each level.
The spinal cord is responsible for several vital functions, including:
1. Reflexes: Simple reflex actions, such as the withdrawal reflex when touching a hot surface, are mediated by the spinal cord without involving the brain.
2. Muscle control: The spinal cord carries motor signals from the brain to the muscles, enabling voluntary movement and muscle tone regulation.
3. Sensory perception: The spinal cord transmits sensory information, such as touch, temperature, pain, and vibration, from the body to the brain for processing and awareness.
4. Autonomic functions: The sympathetic and parasympathetic divisions of the autonomic nervous system originate in the thoracolumbar and sacral regions of the spinal cord, respectively, controlling involuntary physiological responses like heart rate, blood pressure, digestion, and respiration.
Damage to the spinal cord can result in various degrees of paralysis or loss of sensation below the level of injury, depending on the severity and location of the damage.
Spinal cord neoplasms refer to abnormal growths or tumors within the spinal cord. These can be benign (non-cancerous) or malignant (cancerous). They originate from the cells within the spinal cord itself (primary tumors), or they may spread to the spinal cord from other parts of the body (metastatic tumors). Spinal cord neoplasms can cause various symptoms depending on their location and size, including back pain, neurological deficits, and even paralysis. Treatment options include surgery, radiation therapy, and chemotherapy.
Spinal cord injuries (SCI) refer to damage to the spinal cord that results in a loss of function, such as mobility or feeling. This injury can be caused by direct trauma to the spine or by indirect damage resulting from disease or degeneration of surrounding bones, tissues, or blood vessels. The location and severity of the injury on the spinal cord will determine which parts of the body are affected and to what extent.
The effects of SCI can range from mild sensory changes to severe paralysis, including loss of motor function, autonomic dysfunction, and possible changes in sensation, strength, and reflexes below the level of injury. These injuries are typically classified as complete or incomplete, depending on whether there is any remaining function below the level of injury.
Immediate medical attention is crucial for spinal cord injuries to prevent further damage and improve the chances of recovery. Treatment usually involves immobilization of the spine, medications to reduce swelling and pressure, surgery to stabilize the spine, and rehabilitation to help regain lost function. Despite advances in treatment, SCI can have a significant impact on a person's quality of life and ability to perform daily activities.
A laminectomy is a surgical procedure that involves the removal of the lamina, which is the back part of the vertebra that covers the spinal canal. This procedure is often performed to relieve pressure on the spinal cord or nerves caused by conditions such as herniated discs, spinal stenosis, or tumors. By removing the lamina, the surgeon can access the affected area and alleviate the compression on the spinal cord or nerves, thereby reducing pain, numbness, or weakness in the back, legs, or arms.
Laminectomy may be performed as a standalone procedure or in combination with other surgical techniques such as discectomy, foraminotomy, or spinal fusion. The specific approach and extent of the surgery will depend on the patient's individual condition and symptoms.
The thoracic vertebrae are the 12 vertebrae in the thoracic region of the spine, which is the portion between the cervical and lumbar regions. These vertebrae are numbered T1 to T12, with T1 being closest to the skull and T12 connecting to the lumbar region.
The main function of the thoracic vertebrae is to provide stability and support for the chest region, including protection for the vital organs within, such as the heart and lungs. Each thoracic vertebra has costal facets on its sides, which articulate with the heads of the ribs, forming the costovertebral joints. This connection between the spine and the ribcage allows for a range of movements while maintaining stability.
The thoracic vertebrae have a unique structure compared to other regions of the spine. They are characterized by having long, narrow bodies, small bony processes, and prominent spinous processes that point downwards. This particular shape and orientation of the thoracic vertebrae contribute to their role in limiting excessive spinal movement and providing overall trunk stability.
Epidural neoplasms refer to abnormal growths or tumors that develop in the epidural space, which is the area between the dura mater (the outermost protective covering of the spinal cord) and the vertebral column. These tumors can be either primary, originating directly from the cells in the epidural space, or secondary, resulting from the spread (metastasis) of cancerous cells from other parts of the body.
Epidural neoplasms can cause various symptoms due to the compression of the spinal cord and nerve roots. These symptoms may include localized back pain, radiating pain, sensory changes, motor weakness, and autonomic dysfunction. The diagnosis typically involves imaging studies such as MRI or CT scans, followed by a biopsy for histopathological examination to confirm the type and grade of the tumor. Treatment options depend on several factors, including the patient's overall health, the location and size of the tumor, and the type and extent of neurological deficits. Treatment may involve surgical resection, radiation therapy, chemotherapy, or a combination of these approaches.
The cervical vertebrae are the seven vertebrae that make up the upper part of the spine, also known as the neck region. They are labeled C1 to C7, with C1 being closest to the skull and C7 connecting to the thoracic vertebrae in the chest region. The cervical vertebrae have unique structures to allow for a wide range of motion in the neck while also protecting the spinal cord and providing attachment points for muscles and ligaments.
Surgical decompression is a medical procedure that involves relieving pressure on a nerve or tissue by creating additional space. This is typically accomplished through the removal of a portion of bone or other tissue that is causing the compression. The goal of surgical decompression is to alleviate symptoms such as pain, numbness, tingling, or weakness caused by the compression.
In the context of spinal disorders, surgical decompression is often used to treat conditions such as herniated discs, spinal stenosis, or bone spurs that are compressing nerves in the spine. The specific procedure used may vary depending on the location and severity of the compression, but common techniques include laminectomy, discectomy, and foraminotomy.
It's important to note that surgical decompression is a significant medical intervention that carries risks such as infection, bleeding, and injury to surrounding tissues. As with any surgery, it should be considered as a last resort after other conservative treatments have been tried and found to be ineffective. A thorough evaluation by a qualified medical professional is necessary to determine whether surgical decompression is appropriate in a given case.
Spinal cord diseases refer to a group of conditions that affect the spinal cord, which is a part of the central nervous system responsible for transmitting messages between the brain and the rest of the body. These diseases can cause damage to the spinal cord, leading to various symptoms such as muscle weakness, numbness, pain, bladder and bowel dysfunction, and difficulty with movement and coordination.
Spinal cord diseases can be congenital or acquired, and they can result from a variety of causes, including infections, injuries, tumors, degenerative conditions, autoimmune disorders, and genetic factors. Some examples of spinal cord diseases include multiple sclerosis, spina bifida, spinal cord injury, herniated discs, spinal stenosis, and motor neuron diseases such as amyotrophic lateral sclerosis (ALS).
The treatment for spinal cord diseases varies depending on the underlying cause and severity of the condition. Treatment options may include medication, physical therapy, surgery, and rehabilitation. In some cases, the damage to the spinal cord may be irreversible, leading to permanent disability or paralysis.
Paraplegia is a medical condition characterized by partial or complete loss of motor function and sensation in the lower extremities, typically affecting both legs. This results from damage to the spinal cord, often due to trauma such as accidents, falls, or gunshot wounds, or from diseases like spina bifida, polio, or tumors. The specific area and extent of the injury on the spinal cord determine the severity and location of paralysis. Individuals with paraplegia may require assistive devices for mobility, such as wheelchairs, and may face various health challenges, including pressure sores, urinary tract infections, and chronic pain.
Extramedullary hematopoiesis (EMH) is defined as the production of blood cells outside of the bone marrow in adults. In normal physiological conditions, hematopoiesis occurs within the bone marrow cavities of flat bones such as the pelvis, ribs, skull, and vertebrae. However, certain disease states or conditions can cause EMH to occur in various organs such as the liver, spleen, lymph nodes, and peripheral blood.
EMH can be seen in several pathological conditions, including hematologic disorders such as myeloproliferative neoplasms (e.g., polycythemia vera, essential thrombocytopenia), myelodysplastic syndromes, and leukemias. It can also occur in response to bone marrow failure or infiltration by malignant cells, as well as in some non-hematologic disorders such as fibrocystic disease of the breast and congenital hemolytic anemias.
EMH may lead to organ enlargement, dysfunction, and clinical symptoms depending on the site and extent of involvement. Treatment of EMH is generally directed at managing the underlying condition causing it.
Spinal diseases refer to a range of medical conditions that affect the spinal column, which is made up of vertebrae (bones), intervertebral discs, facet joints, nerves, ligaments, and muscles. These diseases can cause pain, discomfort, stiffness, numbness, weakness, or even paralysis, depending on the severity and location of the condition. Here are some examples of spinal diseases:
1. Degenerative disc disease: This is a condition where the intervertebral discs lose their elasticity and height, leading to stiffness, pain, and decreased mobility.
2. Herniated disc: This occurs when the inner material of the intervertebral disc bulges or herniates out through a tear in the outer layer, causing pressure on the spinal nerves and resulting in pain, numbness, tingling, or weakness in the affected area.
3. Spinal stenosis: This is a narrowing of the spinal canal or the neural foramen (the openings where the spinal nerves exit the spinal column), which can cause pressure on the spinal cord or nerves and result in pain, numbness, tingling, or weakness.
4. Scoliosis: This is a curvature of the spine that can occur in children or adults, leading to an abnormal posture, back pain, and decreased lung function.
5. Osteoarthritis: This is a degenerative joint disease that affects the facet joints in the spine, causing pain, stiffness, and decreased mobility.
6. Ankylosing spondylitis: This is a chronic inflammatory disease that affects the spine and sacroiliac joints, leading to pain, stiffness, and fusion of the vertebrae.
7. Spinal tumors: These are abnormal growths that can occur in the spinal column, which can be benign or malignant, causing pain, neurological symptoms, or even paralysis.
8. Infections: Bacterial or viral infections can affect the spine, leading to pain, fever, and other systemic symptoms.
9. Trauma: Fractures, dislocations, or sprains of the spine can occur due to accidents, falls, or sports injuries, causing pain, neurological deficits, or even paralysis.
Myelography is a medical imaging technique used to examine the spinal cord and surrounding structures, such as the spinal nerves, intervertebral discs, and the spinal column. This procedure involves the injection of a contrast dye into the subarachnoid space, which is the area surrounding the spinal cord filled with cerebrospinal fluid (CSF). The dye outlines the spinal structures, making them visible on X-ray or CT scan images.
The primary purpose of myelography is to diagnose various spinal conditions, including herniated discs, spinal stenosis, tumors, infection, and traumatic injuries. It can help identify any compression or irritation of the spinal cord or nerves that may be causing pain, numbness, weakness, or other neurological symptoms.
The procedure typically requires the patient to lie flat on their stomach or side while the radiologist inserts a thin needle into the subarachnoid space, usually at the lower lumbar level. Once the contrast dye is injected, the patient will be repositioned for various X-ray views or undergo a CT scan to capture detailed images of the spine. After the procedure, patients may experience headaches, nausea, or discomfort at the injection site, but these symptoms usually resolve within a few days.
Scheuermann's Disease, also known as Scheuermann's Kyphosis, is a medical condition that affects the spine. It is a developmental disorder of the vertebral bodies involving anterior wedging of at least three adjacent vertebrae, leading to a progressive rounded or hunchback-like curvature of the upper (thoracic) spine. This deformity can result in a rigid, angular kyphosis and may cause back pain, breathing difficulties, or cosmetic concerns. The exact cause of Scheuermann's Disease is unknown, but it tends to run in families and is more common in males than females. Treatment typically includes physical therapy, bracing, and, in severe cases, surgery.
The epidural space is the potential space located outside the dura mater, which is the outermost of the three membranes covering the brain and spinal cord (the meninges). This space runs the entire length of the spinal canal and contains fatty tissue, blood vessels, and nerve roots. It is often used as a route for administering anesthesia during childbirth or surgery, as well as for pain management in certain medical conditions. The injection of medications into this space is called an epidural block.
The spinal canal is the bony, protective channel within the vertebral column that contains and houses the spinal cord. It extends from the foramen magnum at the base of the skull to the sacrum, where the spinal cord ends and forms the cauda equina. The spinal canal is formed by a series of vertebral bodies stacked on top of each other, intervertebral discs in between them, and the laminae and spinous processes that form the posterior elements of the vertebrae. The spinal canal provides protection to the spinal cord from external trauma and contains cerebrospinal fluid (CSF) that circulates around the cord, providing nutrients and cushioning. Any narrowing or compression of the spinal canal, known as spinal stenosis, can cause various neurological symptoms due to pressure on the spinal cord or nerve roots.
An epidural spinal hematoma is a rare but potentially serious medical condition characterized by the accumulation of blood in the epidural space of the spinal canal. The epidural space is the outermost layer of the spinal canal and it contains fat, blood vessels, and nerve roots.
In an epidural spinal hematoma, blood collects in this space, often as a result of trauma or injury to the spine, or due to complications from medical procedures such as spinal taps or epidural anesthesia. The buildup of blood can put pressure on the spinal cord and nerves, leading to symptoms such as back pain, muscle weakness, numbness, or paralysis below the level of the hematoma.
Epidural spinal hematomas require immediate medical attention and may necessitate surgical intervention to relieve the pressure on the spinal cord and prevent further nerve damage. Risk factors for developing an epidural spinal hematoma include bleeding disorders, anticoagulant medication use, and spinal trauma or surgery.
Medical Definition:
Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that uses a strong magnetic field and radio waves to create detailed cross-sectional or three-dimensional images of the internal structures of the body. The patient lies within a large, cylindrical magnet, and the scanner detects changes in the direction of the magnetic field caused by protons in the body. These changes are then converted into detailed images that help medical professionals to diagnose and monitor various medical conditions, such as tumors, injuries, or diseases affecting the brain, spinal cord, heart, blood vessels, joints, and other internal organs. MRI does not use radiation like computed tomography (CT) scans.
Hyperostosis is a medical term that refers to an excessive growth or abnormal thickening of bone tissue. It can occur as a result of various conditions, such as inflammation, injury, or genetic disorders. The extra bone growth can cause pain, stiffness, and limited mobility in the affected area. In some cases, hyperostosis can also lead to deformities and other complications.
There are several types of hyperostosis, including:
1. Diffuse idiopathic skeletal hyperostosis (DISH): This is a condition that affects the spine, causing calcification and stiffening of the ligaments and bone spurs to form along the edges of the vertebrae. It is often asymptomatic but can cause pain and stiffness in some cases.
2. Flat bone hyperostosis: This type of hyperostosis affects the flat bones of the body, such as the skull, ribs, and pelvis. It can be caused by various conditions, including Paget's disease, fibrous dysplasia, and certain types of cancer.
3. Focal hyperostosis: This refers to localized areas of bone overgrowth that can occur in response to injury, infection, or inflammation. Examples include heterotopic ossification (the formation of bone in soft tissues) and Freiberg's infarction (a condition that affects the joint surface of the metatarsal bones in the foot).
4. Hyperostosis frontalis interna: This is a benign condition that causes thickening of the inner table of the frontal bone in the skull. It is more common in women and often asymptomatic but can cause headaches and other symptoms in some cases.
Treatment for hyperostosis depends on the underlying cause and severity of the condition. In some cases, no treatment may be necessary. However, if the condition causes pain or limits mobility, various treatments may be recommended, such as medication, physical therapy, or surgery.
Paraparesis is a medical term that refers to a mild to moderate form of paralysis affecting the lower limbs, specifically the legs. It is characterized by partial loss of strength and mobility, which may result in difficulty walking or maintaining balance. Paraparesis can be caused by various conditions such as spinal cord injuries, multiple sclerosis, spina bifida, or other neurological disorders affecting the spinal cord.
The term "para" means "two," and "paresis" comes from the Greek word "paresis," which means "loosening" or "relaxation." Therefore, paraparesis implies weakness or partial paralysis in two lower extremities. It is important to note that while paraparesis can impact a person's ability to walk and perform daily activities, it does not necessarily lead to complete loss of movement or sensation in the affected limbs.
Proper diagnosis and management of the underlying cause are crucial for improving symptoms and preventing further progression of paraparesis. Treatment options may include physical therapy, medications, assistive devices, or surgical interventions depending on the specific condition causing the paraparesis.
A rheumatic nodule is not a specific medical definition, but rather a descriptive term for a type of nodule that can be found in certain medical conditions. These nodules are typically associated with rheumatoid arthritis (RA), although they can also occur in other diseases such as systemic lupus erythematosus (SLE) and dermatomyositis.
Rheumatic nodules are small, firm, round or oval-shaped lumps that develop under the skin or in certain organs such as the lungs. They can vary in size from a few millimeters to several centimeters in diameter. In RA, these nodules usually appear on the forearms, elbows, fingers, knees, and ankles, although they can occur in other areas of the body as well.
Histologically, rheumatic nodules are characterized by a central area of fibrinoid necrosis surrounded by palisading histiocytes and fibroblasts. They may also contain lymphocytes, plasma cells, and eosinophils. The presence of these nodules is thought to be related to the immune system's response to the underlying disease process, although their exact cause and significance are not fully understood.
It is important to note that rheumatic nodules can also occur in individuals without any known medical condition, and their presence does not necessarily indicate the presence of a specific disease. However, if you notice any new or unusual lumps or bumps on your body, it is always a good idea to consult with a healthcare professional for further evaluation and diagnosis.
Osteochondroma is a benign (noncancerous) bone tumor that typically develops during childhood or adolescent growth years. It usually forms near the end of long bones, such as those in the arms and legs, but can also occur in other bones. An osteochondroma may have a cartilage cap covering its surface.
This type of tumor often grows slowly and typically stops growing once the person has stopped growing. In many cases, an osteochondroma doesn't cause any symptoms and doesn't require treatment. However, if it continues to grow or causes problems such as pain, restricted movement, or bone deformity, surgical removal may be necessary.
Most osteochondromas are solitary (occurring singly), but some people can develop multiple tumors, a condition known as multiple hereditary exostoses or diaphyseal aclasis. This genetic disorder is associated with a higher risk of developing sarcoma, a type of cancerous tumor that can arise from osteochondromas.
It's essential to have regular follow-ups with your healthcare provider if you have an osteochondroma to monitor its growth and any potential complications.
A balloon embolectomy is a medical procedure used to remove blood clots from blood vessels. It involves inserting a catheter into the affected blood vessel, which has a deflated balloon at its tip. The catheter is guided to the site of the clot, and then the balloon is inflated to trap and remove the clot when the catheter is pulled back. This procedure can help restore blood flow and prevent tissue damage in the affected area. It is often used as an emergency procedure in cases of acute pulmonary embolism or arterial occlusion.
The odontoid process, also known as the dens, is a tooth-like projection from the second cervical vertebra (axis). It fits into a ring formed by the first vertebra (atlas), allowing for movement between these two vertebrae. The odontoid process helps to support the head and facilitates movements such as nodding and shaking. It is an essential structure in maintaining stability and mobility of the upper spine.
Bone neoplasms are abnormal growths or tumors that develop in the bone. They can be benign (non-cancerous) or malignant (cancerous). Benign bone neoplasms do not spread to other parts of the body and are rarely a threat to life, although they may cause problems if they grow large enough to press on surrounding tissues or cause fractures. Malignant bone neoplasms, on the other hand, can invade and destroy nearby tissue and may spread (metastasize) to other parts of the body.
There are many different types of bone neoplasms, including:
1. Osteochondroma - a benign tumor that develops from cartilage and bone
2. Enchondroma - a benign tumor that forms in the cartilage that lines the inside of the bones
3. Chondrosarcoma - a malignant tumor that develops from cartilage
4. Osteosarcoma - a malignant tumor that develops from bone cells
5. Ewing sarcoma - a malignant tumor that develops in the bones or soft tissues around the bones
6. Giant cell tumor of bone - a benign or occasionally malignant tumor that develops from bone tissue
7. Fibrosarcoma - a malignant tumor that develops from fibrous tissue in the bone
The symptoms of bone neoplasms vary depending on the type, size, and location of the tumor. They may include pain, swelling, stiffness, fractures, or limited mobility. Treatment options depend on the type and stage of the tumor but may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.
An epidural abscess is a localized collection of pus (abscess) in the epidural space, which is the potential space between the dura mater (the outermost membrane covering the brain and spinal cord) and the vertebral column. The infection typically occurs as a result of bacterial invasion into this space and can cause compression of the spinal cord or nerves, leading to serious neurological deficits if not promptly diagnosed and treated.
Epidural abscesses can occur in any part of the spine but are most commonly found in the lumbar region. They may develop as a complication of a nearby infection, such as a skin or soft tissue infection, or as a result of hematogenous spread (spread through the bloodstream) from a distant site of infection. Risk factors for developing an epidural abscess include diabetes, intravenous drug use, spinal surgery, and spinal instrumentation.
Symptoms of an epidural abscess may include back pain, fever, neck stiffness, weakness or numbness in the limbs, and bladder or bowel dysfunction. Diagnosis typically involves imaging studies such as MRI or CT scans, along with laboratory tests to identify the causative organism. Treatment usually consists of surgical drainage of the abscess and administration of antibiotics to eliminate the infection. In some cases, corticosteroids may be used to reduce inflammation and prevent further neurological damage.
Multiple hereditary exostoses (MHE) is a genetic condition characterized by the growth of multiple benign tumors known as osteochondromas. These tumors typically develop at the ends of long bones near the growth plates and can cause various skeletal deformities, limitations in mobility, and other health issues.
MHE is usually inherited in an autosomal dominant pattern, meaning that a child has a 50% chance of inheriting the condition if one parent has it. However, some cases may result from spontaneous mutations. The condition typically becomes apparent during childhood or adolescence and can affect both sexes equally.
The primary diagnostic feature of MHE is the presence of multiple osteochondromas, which are made up of bone and cartilage. These growths can cause a range of symptoms, including pain, swelling, decreased mobility, and an increased risk of fractures. In some cases, they may also lead to complications such as nerve compression or vascular damage.
Treatment for MHE typically involves surgical removal of the osteochondromas, particularly if they are causing significant symptoms or complications. Regular monitoring is also important to detect any new growths and assess their potential impact on health. In addition, physical therapy and other supportive measures may be recommended to help manage symptoms and maintain mobility.
Quadriplegia, also known as tetraplegia, is a medical condition characterized by paralysis affecting all four limbs and the trunk of the body. It results from damage to the cervical spinal cord, typically at levels C1-C8, which controls signals to the muscles in the arms, hands, trunk, legs, and pelvic organs. The extent of quadriplegia can vary widely, ranging from weakness to complete loss of movement and sensation below the level of injury. Other symptoms may include difficulty breathing, bowel and bladder dysfunction, and sexual dysfunction. The severity and prognosis depend on the location and extent of the spinal cord injury.
Diphosphonates are a class of medications that are used to treat bone diseases, such as osteoporosis and Paget's disease. They work by binding to the surface of bones and inhibiting the activity of bone-resorbing cells called osteoclasts. This helps to slow down the breakdown and loss of bone tissue, which can help to reduce the risk of fractures.
Diphosphonates are typically taken orally in the form of tablets, but some forms may be given by injection. Commonly prescribed diphosphonates include alendronate (Fosamax), risedronate (Actonel), and ibandronate (Boniva). Side effects of diphosphonates can include gastrointestinal symptoms such as nausea, heartburn, and abdominal pain. In rare cases, they may also cause esophageal ulcers or osteonecrosis of the jaw.
It is important to follow the instructions for taking diphosphonates carefully, as they must be taken on an empty stomach with a full glass of water and the patient must remain upright for at least 30 minutes after taking the medication to reduce the risk of esophageal irritation. Regular monitoring of bone density and kidney function is also recommended while taking these medications.
An Arachnoid cyst is a type of abnormal fluid-filled sac that develops between the brain or spinal cord and the arachnoid membrane, which is one of the three layers that cover and protect the central nervous system. These cysts are filled with cerebrospinal fluid (CSF), which is the same fluid that surrounds and cushions the brain and spinal cord.
Arachnoid cysts can vary in size and may be present at birth or develop later in life due to trauma, infection, or other factors. While many arachnoid cysts are asymptomatic and do not cause any problems, larger cysts or those that grow or shift over time can put pressure on the brain or spinal cord, leading to a range of neurological symptoms such as headaches, seizures, hearing or vision changes, balance or coordination difficulties, and cognitive impairments.
Treatment for arachnoid cysts depends on their size, location, and associated symptoms. In some cases, observation and monitoring may be sufficient, while in others, surgical intervention may be necessary to drain the cyst or create a connection between it and the surrounding CSF space to relieve pressure.
The arachnoid is one of the three membranes that cover the brain and the spinal cord, known as the meninges. It is located between the dura mater (the outermost layer) and the pia mater (the innermost layer). The arachnoid is a thin, delicate membrane that is filled with cerebrospinal fluid, which provides protection and nutrition to the central nervous system.
The arachnoid has a spider-web like appearance, hence its name, and it is composed of several layers of collagen fibers and elastic tissue. It is highly vascularized, meaning that it contains many blood vessels, and it plays an important role in regulating the flow of cerebrospinal fluid around the brain and spinal cord.
In some cases, the arachnoid can become inflamed or irritated, leading to a condition called arachnoiditis. This can cause a range of symptoms, including pain, muscle weakness, and sensory changes, and it may require medical treatment to manage.
Tuberculosis (TB) of the spine, also known as Pott's disease, is a specific form of extrapulmonary tuberculosis that involves the vertebral column. It is caused by the Mycobacterium tuberculosis bacterium, which primarily affects the lungs but can spread through the bloodstream to other parts of the body, including the spine.
In Pott's disease, the infection leads to the destruction of the spongy bone (vertebral body) and the intervertebral disc space, resulting in vertebral collapse, kyphosis (hunchback deformity), and potential neurological complications due to spinal cord compression. Common symptoms include back pain, stiffness, fever, night sweats, and weight loss. Early diagnosis and treatment with a multidrug antibiotic regimen are crucial to prevent long-term disability and further spread of the infection.
A hemangioma is a benign (noncancerous) vascular tumor or growth that originates from blood vessels. It is characterized by an overgrowth of endothelial cells, which line the interior surface of blood vessels. Hemangiomas can occur in various parts of the body, but they are most commonly found on the skin and mucous membranes.
Hemangiomas can be classified into two main types:
1. Capillary hemangioma (also known as strawberry hemangioma): This type is more common and typically appears during the first few weeks of life. It grows rapidly for several months before gradually involuting (or shrinking) on its own, usually within the first 5 years of life. Capillary hemangiomas can be superficial, appearing as a bright red, raised lesion on the skin, or deep, forming a bluish, compressible mass beneath the skin.
2. Cavernous hemangioma: This type is less common and typically appears during infancy or early childhood. It consists of large, dilated blood vessels and can occur in various organs, including the skin, liver, brain, and gastrointestinal tract. Cavernous hemangiomas on the skin appear as a rubbery, bluish mass that does not typically involute like capillary hemangiomas.
Most hemangiomas do not require treatment, especially if they are small and not causing any significant problems. However, in cases where hemangiomas interfere with vital functions, impair vision or hearing, or become infected, various treatments may be considered, such as medication (e.g., corticosteroids, propranolol), laser therapy, surgical excision, or embolization.
Data compression, in the context of medical informatics, refers to the process of encoding data to reduce its size while maintaining its integrity and accuracy. This technique is commonly used in transmitting and storing large datasets, such as medical images or genetic sequences, where smaller file sizes can significantly improve efficiency and speed up processing times.
There are two main types of data compression: lossless and lossy. Lossless compression ensures that the original data can be reconstructed exactly from the compressed data, making it essential for applications where data accuracy is critical, such as medical imaging or electronic health records. On the other hand, lossy compression involves discarding some redundant or less important data to achieve higher compression rates, but at the cost of reduced data quality.
In summary, data compression in a medical context refers to the process of reducing the size of digital data while maintaining its accuracy and integrity, which can improve efficiency in data transmission and storage.
Spinal fusion is a surgical procedure where two or more vertebrae in the spine are fused together to create a solid bone. The purpose of this procedure is to restrict movement between the fused vertebrae, which can help reduce pain and stabilize the spine. This is typically done using bone grafts or bone graft substitutes, along with hardware such as rods, screws, or cages to hold the vertebrae in place while they heal together. The procedure may be recommended for various spinal conditions, including degenerative disc disease, spinal stenosis, spondylolisthesis, scoliosis, or fractures.
Spontaneous fractures are bone breaks that occur without any identifiable trauma or injury. They are typically caused by underlying medical conditions that weaken the bones, making them more susceptible to breaking under normal stress or weight. The most common cause of spontaneous fractures is osteoporosis, a condition characterized by weak and brittle bones. Other potential causes include various bone diseases, certain cancers, long-term use of corticosteroids, and genetic disorders affecting bone strength.
It's important to note that while the term "spontaneous" implies that the fracture occurred without any apparent cause, it is usually the result of an underlying medical condition. Therefore, if you experience a spontaneous fracture, seeking medical attention is crucial to diagnose and manage the underlying cause to prevent future fractures and related complications.
The spine, also known as the vertebral column, is a complex structure in the human body that is part of the axial skeleton. It is composed of 33 individual vertebrae (except in some people where there are fewer due to fusion of certain vertebrae), intervertebral discs, facet joints, ligaments, muscles, and nerves.
The spine has several important functions:
1. Protection: The spine protects the spinal cord, which is a major component of the nervous system, by enclosing it within a bony canal.
2. Support: The spine supports the head and upper body, allowing us to maintain an upright posture and facilitating movement of the trunk and head.
3. Movement: The spine enables various movements such as flexion (bending forward), extension (bending backward), lateral flexion (bending sideways), and rotation (twisting).
4. Weight-bearing: The spine helps distribute weight and pressure evenly across the body, reducing stress on individual vertebrae and other structures.
5. Blood vessel and nerve protection: The spine protects vital blood vessels and nerves that pass through it, including the aorta, vena cava, and spinal nerves.
The spine is divided into five regions: cervical (7 vertebrae), thoracic (12 vertebrae), lumbar (5 vertebrae), sacrum (5 fused vertebrae), and coccyx (4 fused vertebrae, also known as the tailbone). Each region has unique characteristics that allow for specific functions and adaptations to the body's needs.
Nerve compression syndromes refer to a group of conditions characterized by the pressure or irritation of a peripheral nerve, causing various symptoms such as pain, numbness, tingling, and weakness in the affected area. This compression can occur due to several reasons, including injury, repetitive motion, bone spurs, tumors, or swelling. Common examples of nerve compression syndromes include carpal tunnel syndrome, cubital tunnel syndrome, radial nerve compression, and ulnar nerve entrapment at the wrist or elbow. Treatment options may include physical therapy, splinting, medications, injections, or surgery, depending on the severity and underlying cause of the condition.
A spinal fracture, also known as a vertebral compression fracture, is a break in one or more bones (vertebrae) of the spine. This type of fracture often occurs due to weakened bones caused by osteoporosis, but it can also result from trauma such as a car accident or a fall.
In a spinal fracture, the front part of the vertebra collapses, causing the height of the vertebra to decrease, while the back part of the vertebra remains intact. This results in a wedge-shaped deformity of the vertebra. Multiple fractures can lead to a hunched forward posture known as kyphosis or dowager's hump.
Spinal fractures can cause pain, numbness, tingling, or weakness in the back, legs, or arms, depending on the location and severity of the fracture. In some cases, spinal cord compression may occur, leading to more severe symptoms such as paralysis or loss of bladder and bowel control.
Neurosurgical procedures are operations that are performed on the brain, spinal cord, and peripheral nerves. These procedures are typically carried out by neurosurgeons, who are medical doctors with specialized training in the diagnosis and treatment of disorders of the nervous system. Neurosurgical procedures can be used to treat a wide range of conditions, including traumatic injuries, tumors, aneurysms, vascular malformations, infections, degenerative diseases, and congenital abnormalities.
Some common types of neurosurgical procedures include:
* Craniotomy: A procedure in which a bone flap is temporarily removed from the skull to gain access to the brain. This type of procedure may be performed to remove a tumor, repair a blood vessel, or relieve pressure on the brain.
* Spinal fusion: A procedure in which two or more vertebrae in the spine are fused together using bone grafts and metal hardware. This is often done to stabilize the spine and alleviate pain caused by degenerative conditions or spinal deformities.
* Microvascular decompression: A procedure in which a blood vessel that is causing pressure on a nerve is repositioned or removed. This type of procedure is often used to treat trigeminal neuralgia, a condition that causes severe facial pain.
* Deep brain stimulation: A procedure in which electrodes are implanted in specific areas of the brain and connected to a battery-operated device called a neurostimulator. The neurostimulator sends electrical impulses to the brain to help alleviate symptoms of movement disorders such as Parkinson's disease or dystonia.
* Stereotactic radiosurgery: A non-invasive procedure that uses focused beams of radiation to treat tumors, vascular malformations, and other abnormalities in the brain or spine. This type of procedure is often used for patients who are not good candidates for traditional surgery due to age, health status, or location of the lesion.
Neurosurgical procedures can be complex and require a high degree of skill and expertise. Patients considering neurosurgical treatment should consult with a qualified neurosurgeon to discuss their options and determine the best course of action for their individual situation.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
Spinal cord ischemia refers to a reduction or interruption of blood flow to the spinal cord, leading to insufficient oxygen and nutrient supply. This condition can cause damage to the spinal cord tissue, potentially resulting in neurological deficits, such as muscle weakness, sensory loss, or autonomic dysfunction. Spinal cord ischemia may be caused by various factors, including atherosclerosis, embolism, spinal artery stenosis, or complications during surgery. The severity and extent of the neurological impairment depend on the duration and location of the ischemic event in the spinal cord.
The umbilical cord is a flexible, tube-like structure that connects the developing fetus to the placenta in the uterus during pregnancy. It arises from the abdomen of the fetus and transports essential nutrients, oxygen, and blood from the mother's circulation to the growing baby. Additionally, it carries waste products, such as carbon dioxide, from the fetus back to the placenta for elimination. The umbilical cord is primarily composed of two arteries (the umbilical arteries) and one vein (the umbilical vein), surrounded by a protective gelatinous substance called Wharton's jelly, and enclosed within a fibrous outer covering known as the umbilical cord coating. Following birth, the umbilical cord is clamped and cut, leaving behind the stump that eventually dries up and falls off, resulting in the baby's belly button.
Spinal osteophytosis, also known as spinal osteophyte formation or bone spurs on the spine, refers to the abnormal growth of bony projections along the vertebral column's margins. These bony outgrowths develop due to degenerative changes, inflammation, or injury in the joints between the vertebrae (facet joints) and can cause stiffness, pain, and reduced mobility. In some cases, spinal osteophytosis may lead to complications such as spinal stenosis or nerve compression.
The lumbar vertebrae are the five largest and strongest vertebrae in the human spine, located in the lower back region. They are responsible for bearing most of the body's weight and providing stability during movement. The lumbar vertebrae have a characteristic shape, with a large body in the front, which serves as the main weight-bearing structure, and a bony ring in the back, formed by the pedicles, laminae, and processes. This ring encloses and protects the spinal cord and nerves. The lumbar vertebrae are numbered L1 to L5, starting from the uppermost one. They allow for flexion, extension, lateral bending, and rotation movements of the trunk.
X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.
The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.
CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.
In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.
CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.
In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.
"Recovery of function" is a term used in medical rehabilitation to describe the process in which an individual regains the ability to perform activities or tasks that were previously difficult or impossible due to injury, illness, or disability. This can involve both physical and cognitive functions. The goal of recovery of function is to help the person return to their prior level of independence and participation in daily activities, work, and social roles as much as possible.
Recovery of function may be achieved through various interventions such as physical therapy, occupational therapy, speech-language therapy, and other rehabilitation strategies. The specific approach used will depend on the individual's needs and the nature of their impairment. Recovery of function can occur spontaneously as the body heals, or it may require targeted interventions to help facilitate the process.
It is important to note that recovery of function does not always mean a full return to pre-injury or pre-illness levels of ability. Instead, it often refers to the person's ability to adapt and compensate for any remaining impairments, allowing them to achieve their maximum level of functional independence and quality of life.
Compression stockings are a specialized type of hosiery that applies pressure to your legs, promoting better blood flow. They are tightest at the ankle and gradually become less constrictive up the leg. This gradient compression helps to counteract the force of gravity and promote venous return, reducing the pooling of blood in the lower extremities.
Compression stockings are often used to help prevent or treat various conditions related to poor circulation, including:
1. Varicose veins: Enlarged, swollen, and twisting veins that are easily visible just under the surface of the skin.
2. Deep vein thrombosis (DVT): A blood clot that forms in the deep veins, usually in the legs. Compression stockings can help reduce the risk of DVT after certain surgeries or during long periods of immobilization.
3. Edema: Swelling in the legs and ankles due to fluid buildup.
4. Chronic venous insufficiency: A condition where the veins have difficulty returning blood from the legs back to the heart, leading to symptoms like leg pain, swelling, and skin changes.
5. Post-thrombotic syndrome (PTS): A long-term complication of DVT characterized by chronic leg pain, swelling, and skin ulcers. Compression stockings can help manage symptoms and prevent further complications.
There are different levels of compression available, ranging from mild (15-20 mmHg) to extra firm (50-60 mmHg). Your healthcare provider will recommend the appropriate level based on your specific condition and needs. It is essential to wear compression stockings correctly for them to be effective and avoid skin irritation or other complications.
Spinal injections, also known as epidural injections or intrathecal injections, are medical procedures involving the injection of medications directly into the spinal canal. The medication is usually delivered into the space surrounding the spinal cord (the epidural space) or into the cerebrospinal fluid that surrounds and protects the spinal cord (the subarachnoid space).
The medications used in spinal injections can include local anesthetics, steroids, opioids, or a combination of these. The purpose of spinal injections is to provide diagnostic information, therapeutic relief, or both. They are commonly used to treat various conditions affecting the spine, such as radicular pain (pain that radiates down the arms or legs), disc herniation, spinal stenosis, and degenerative disc disease.
Spinal injections can be administered using different techniques, including fluoroscopy-guided injections, computed tomography (CT) scan-guided injections, or with the help of a nerve stimulator. These techniques ensure accurate placement of the medication and minimize the risk of complications.
It is essential to consult a healthcare professional for specific information regarding spinal injections and their potential benefits and risks.
Cancer care facilities are healthcare institutions that provide medical and supportive services to patients diagnosed with cancer. These facilities offer a range of treatments, including surgery, radiation therapy, chemotherapy, immunotherapy, and hormone therapy. They also provide diagnostic services, pain management, rehabilitation, palliative care, and psychosocial support to help patients cope with the physical and emotional challenges of cancer and its treatment.
Cancer care facilities can vary in size and scope, from large academic medical centers that offer cutting-edge clinical trials and specialized treatments, to community hospitals and outpatient clinics that provide more routine cancer care. Some cancer care facilities specialize in specific types of cancer or treatments, while others offer a comprehensive range of services for all types of cancer.
In addition to medical treatment, cancer care facilities may also provide complementary therapies such as acupuncture, massage, and yoga to help patients manage symptoms and improve their quality of life during and after treatment. They may also offer support groups, counseling, and other resources to help patients and their families cope with the challenges of cancer.
Overall, cancer care facilities play a critical role in diagnosing, treating, and supporting patients with cancer, helping them to achieve the best possible outcomes and quality of life.
A fatal outcome is a term used in medical context to describe a situation where a disease, injury, or illness results in the death of an individual. It is the most severe and unfortunate possible outcome of any medical condition, and is often used as a measure of the severity and prognosis of various diseases and injuries. In clinical trials and research, fatal outcome may be used as an endpoint to evaluate the effectiveness and safety of different treatments or interventions.
Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.
Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.
Spinal nerve roots are the initial parts of spinal nerves that emerge from the spinal cord through the intervertebral foramen, which are small openings between each vertebra in the spine. These nerve roots carry motor, sensory, and autonomic fibers to and from specific regions of the body. There are 31 pairs of spinal nerve roots in total, with 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal pair. Each root has a dorsal (posterior) and ventral (anterior) ramus that branch off to form the peripheral nervous system. Irritation or compression of these nerve roots can result in pain, numbness, weakness, or loss of reflexes in the affected area.
A compression fracture is a type of bone fracture that occurs when there is a collapse of a vertebra in the spine. This type of fracture is most commonly seen in the thoracic and lumbar regions of the spine. Compression fractures are often caused by weakened bones due to osteoporosis, but they can also result from trauma or tumors that weaken the bone.
In a compression fracture, the front part (anterior) of the vertebra collapses, while the back part (posterior) remains intact, causing the height of the vertebra to decrease. This can lead to pain, deformity, and decreased mobility. In severe cases, multiple compression fractures can result in a condition called kyphosis, which is an abnormal curvature of the spine that leads to a hunchback appearance.
Compression fractures are typically diagnosed through imaging tests such as X-rays, CT scans, or MRI scans. Treatment may include pain medication, bracing, physical therapy, or in some cases, surgery. Preventive measures such as maintaining a healthy diet, getting regular exercise, and taking medications to prevent or treat osteoporosis can help reduce the risk of compression fractures.
An intervertebral disc is a fibrocartilaginous structure found between the vertebrae of the spinal column in humans and other animals. It functions as a shock absorber, distributes mechanical stress during weight-bearing activities, and allows for varying degrees of mobility between adjacent vertebrae.
The disc is composed of two parts: the annulus fibrosus, which forms the tough, outer layer; and the nucleus pulposus, which is a gel-like substance in the center that contains proteoglycans and water. The combination of these components provides the disc with its unique ability to distribute forces and allow for movement.
The intervertebral discs are essential for the normal functioning of the spine, providing stability, flexibility, and protection to the spinal cord and nerves. However, they can also be subject to degeneration and injury, which may result in conditions such as herniated discs or degenerative disc disease.
In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.
For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.
Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.
Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.
Spinal stenosis is a narrowing of the spinal canal or the neural foramina (the openings through which nerves exit the spinal column), typically in the lower back (lumbar) or neck (cervical) regions. This can put pressure on the spinal cord and/or nerve roots, causing pain, numbness, tingling, or weakness in the affected areas, often in the legs, arms, or hands. It's most commonly caused by age-related wear and tear, but can also be due to degenerative changes, herniated discs, tumors, or spinal injuries.
Osteochondromatosis is a benign (non-cancerous) condition where bone and cartilage grow outside the ends of bones, forming growths known as osteochondromas. These growths typically occur in areas where bones are growing actively, such as near the joints.
Osteochondromatosis can be hereditary or may develop sporadically. The hereditary form is called hereditary multiple exostoses (HME) or multiple osteochondromas, and it affects several bones in the body. In contrast, the sporadic form typically affects only one bone or a small number of bones.
Osteochondromatosis can cause various symptoms depending on the location and size of the growths. Some people with this condition may not experience any symptoms at all. However, if the osteochondromas grow near joints, they can cause pain, stiffness, or limited mobility. In some cases, the growths may also compress nerves or blood vessels, leading to additional complications such as numbness, tingling, or weakness in the affected limbs.
It is important to note that while osteochondromatosis itself is not cancerous, there is a small risk that the osteochondromas may undergo malignant transformation and develop into chondrosarcoma, a type of bone cancer. Regular follow-up with an orthopedic specialist is recommended to monitor any changes in the growths over time.
The Cervical Atlas, also known as C1 or the atlas vertebra, is the uppermost and most superior of the seven cervical vertebrae in the human spine. It plays a crucial role in supporting and facilitating the movement of the head, as it articulates with both the occipital bone (forming the joint called the atlanto-occipital joint) and the axis (or C2) vertebra (forming the atlantoaxial joint). The unique structure of the cervical atlas lacks a body, instead having an anterior and posterior arch with two lateral masses that form the facet joints for articulation with the axis. This arrangement allows for a wide range of motion in the neck, including flexion, extension, lateral bending, and rotation.
The ligamentum flavum is a pair of elastic bands of tissue located in the spine. They connect the laminae, which are parts of the vertebral arch, from one vertebra to the next in the spine. These ligaments help maintain the stability and alignment of the vertebral column, allowing for a limited range of movement while preventing excessive motion that could cause injury. The elasticity of the ligamentum flavum also facilitates the return of the spinal column to its normal position after flexion.
These ligaments are named "flavum" because they have a yellowish color due to their high elastin content. They play an essential role in protecting the spinal cord and nerve roots from damage during movements of the spine. Any degeneration, thickening, or calcification of the ligamentum flavum may lead to conditions such as spinal stenosis, which can cause pain, numbness, or weakness in the back, legs, or arms.
Spinal nerves are the bundles of nerve fibers that transmit signals between the spinal cord and the rest of the body. There are 31 pairs of spinal nerves in the human body, which can be divided into five regions: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. Each spinal nerve carries both sensory information (such as touch, temperature, and pain) from the periphery to the spinal cord, and motor information (such as muscle control) from the spinal cord to the muscles and other structures in the body. Spinal nerves also contain autonomic fibers that regulate involuntary functions such as heart rate, digestion, and blood pressure.
Palliative care is a type of medical care that focuses on relieving the pain, symptoms, and stress of serious illnesses. The goal is to improve quality of life for both the patient and their family. It is provided by a team of doctors, nurses, and other specialists who work together to address the physical, emotional, social, and spiritual needs of the patient. Palliative care can be provided at any stage of an illness, alongside curative treatments, and is not dependent on prognosis.
The World Health Organization (WHO) defines palliative care as: "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychological and spiritual."
Motor neurons are specialized nerve cells in the brain and spinal cord that play a crucial role in controlling voluntary muscle movements. They transmit electrical signals from the brain to the muscles, enabling us to perform actions such as walking, talking, and swallowing. There are two types of motor neurons: upper motor neurons, which originate in the brain's motor cortex and travel down to the brainstem and spinal cord; and lower motor neurons, which extend from the brainstem and spinal cord to the muscles. Damage or degeneration of these motor neurons can lead to various neurological disorders, such as amyotrophic lateral sclerosis (ALS) and spinal muscular atrophy (SMA).
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Stenosis14
- Marketresearchfuture.com includes Global Spinal Cord Compression-Spinal Stenosis Market by indications, by diagnosis, by end users - Global Forecast till 2023 is new report. (openpr.com)
- Spinal stenosis is the abnormal narrowing of spinal canal causing it to restrict, which may result in a neurological deficit due to interference with neurological fibres. (openpr.com)
- The market for spinal cord compression-spinal stenosis is rising due to factors such as rise in the cases of arthritis, congenital spinal defects, instability of the spine, and slip-disc due to reasons such as spondylitis, trauma and tumours. (openpr.com)
- Considering all these factors the market for spinal cord compression-spinal stenosis is expected to reach $ 8.5 billion by the end of 2023, this market is projected to growing at a CAGR of ~ 11.5 % during 2017-2023. (openpr.com)
- The U.S. spinal cord compression-spinal stenosis is dependent on the legal and regulatory environment includes factors such as labelling standards, FDA classification rules etc. (openpr.com)
- The market consolidation and growing partnerships and mergers of large insurance companies and large healthcare providers and hospitals will drive the future U.S. market for spinal cord compression-spinal stenosis due to growth in their buying power as well as improving economies of scale. (openpr.com)
- Lumbar Spinal Stenosis Lumbar spinal stenosis is narrowing of the lumbar spinal canal causing compression of the nerve rootlets and nerve roots in the cauda equina before their exit from the foramina. (msdmanuals.com)
- He has a special interest in nerve compression and spine problems such as back & neck pain, scoliosis, kyphosis, spine tumor & infection, spinal cord injury, osteoporosis fracture, spinal stenosis and slipped disc. (spring-hope.com)
- Spinal stenosis is the narrowing of one or more bony openings (foramina) in the vertebrae of the spine. (spine-health.com)
- When spinal stenosis occurs in the spinal canal, it is called central canal stenosis and may cause compression of the spinal cord. (spine-health.com)
- 1 Meyer F, Börm W, Thomé C. Degenerative cervical spinal stenosis: current strategies in diagnosis and treatment. (spine-health.com)
- Spinal stenosis. (spine-health.com)
- Typically, stenosis is seen in up to 80% of people above 60 years of age, with an estimated 5% having coexisting cervical and lumbar stenosis (also called tandem spinal stenosis). (spine-health.com)
- 2014. doi:10.1016/c2009-0-42800-9 Spine surgery in people over 65 years is most commonly performed for treating spinal stenosis. (spine-health.com)
Tumor7
- Acute compression may follow subacute and chronic compression, especially if the cause is abscess or tumor. (wikipedia.org)
- Kaya RA, Cavuşoğlu H, Tanik C et al (2007) Spinal cord compression caused by a brown tumor at the cervicothoracic junction. (springer.com)
- Spinal cord compression and spinal compression fractures occur when something puts pressure on the spinal cord, from normal wear-and-tear caused by osteoarthritis to a tumor, scoliosis, or spinal injury. (adventhealth.com)
- For compression fractures caused by tumors, the outcome depends on the type of tumor involved. (medlineplus.gov)
- The presence of a spinal cord tumor or another condition that is exerting pressure on the spinal cord, vitamin B12 deficiency, or a history of radiation therapy to or cyclophosphamide injection into the spinal cord excludes the possibility of a diagnosis of transverse myelitis. (encyclopedia.com)
- The authors performed targeted exome sequencing on both the resected primary tumor and biopsied spinal metastases, which revealed 12 total variants of unknown clinical significance in genes associated with the PI3K/AKT/mTOR pathway, chromatin remodeling, DNA repair, and cell proliferation. (thejns.org)
- When a space occupying lesion (something that doesn't belong in a space, i.e. splinter, bullet or tumor) or in the form of a herniated disc (by definition always from trauma), goes beyond the borders of the disc/vertebrate into the spinal canal, it can touch and/or push the spinal cord. (chiropractormaitland.com)
Spine8
- We report a rare case of adult Langerhans cell histiocytosis in the dorsal spine causing a spinal cord compression associated with a pulmonary process treated by surgery, radiotherapy and systemic therapy with good evolution. (scirp.org)
- MRI of the spine showed a spinal cord compression due to bone and epidural tumoral lesions of the posterior wall of the D1 to D5 thoracic vertebras ( Figure 1 ). (scirp.org)
- Final diagnosis was therefore Langerhans cell histiocytosis of the dorsal spine complicated by spinal cord compression. (scirp.org)
- We also review other reported unusual cases of UTC involving the cervical spine and discuss the differential diagnosis of destructive spinal lesions in uremic patients, such as UTC, dialysis-related amyloidosis, and brown tumors. (springer.com)
- Immediate care Trauma to the spine may cause injuries involving the spinal cord, vertebrae, or both. (msdmanuals.com)
- Our compassionate spine care specialists create personalized plans for every aspect of spinal cord compression recovery. (adventhealth.com)
- Understanding the signs of compression of the spine can help you stay proactive about your spinal cord care and help us start a treatment plan. (adventhealth.com)
- It happens when the cancer cells spread in or near the spine and press onto the spinal cord. (stvincenthospital.com)
Epidural6
- Spinal cord compression from extramedullary haemopoiesis within the spinal epidural space is a rare complication of myelofibrosis and polycythaemia rubra vera (PRV). (bmj.com)
- A simple and reproducible model of spinal cord injury induced by epidural balloon inflation in the rat. (cns.org)
- In most cases, cord damage occurs due to an extension of vertebral body metastasis into epidural spaces, but damage can be due to vertebral collapse, direct metastasis through the intervertebral foramen and due to obstruction of the vascular supply. (palcareindia.com)
- These five types of malignancy, in addition to sarcomas and renal cancers account for about 70% of cases of metastatic epidural spinal cord compression. (researchbib.com)
- Myelopathy caused by metastatic spinal epidural neoplasms. (nih.gov)
- Patients with metastatic epidural spinal cord compression can be treated with direct decompressive surgery alongside post-operative radiotherapy. (indiatimes.com)
Myelopathy6
- Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. (wikipedia.org)
- Moreover, spinal involvement causing myelopathy is even rare and unusual. (scirp.org)
- Acute myelopathy in patients with cancer can also be caused by irradiation, paraneoplastic necrotising myelitis, ruptured intervertebral disc and meningeal carcinomatosis with spinal cord involvement. (patient.info)
- Predictors of symptomatic myelopathy in degenerative cervical spinal cord compression. (spine-health.com)
- Myelopathy is a clinical diagnosis with localization of the neurological findings to the spinal cord, rather than the brain or the peripheral nervous system, and then to a particular segment of the spinal cord. (bvsalud.org)
- Myelopathy can be the result of primary intrinsic disorders of the spinal cord or from secondary conditions, which result in extrinsic compression of the spinal cord. (bvsalud.org)
Symptoms10
- Symptoms suggestive of cord compression are back pain, a dermatome of increased sensation, paralysis of limbs below the level of compression, decreased sensation below the level of compression, urinary and fecal incontinence and/or urinary retention. (wikipedia.org)
- Typically, the symptoms of spinal cord compression develop slowly and progress steadily over several years. (wikipedia.org)
- We're attuned to the symptoms of spinal cord compression and spinal compression fractures. (adventhealth.com)
- Treatment for your symptoms could include surgery, spinal injections, or physical therapy, depending on the severity of your injury. (bressmanlaw.com)
- Compression fractures due to osteoporosis may cause no symptoms at first. (medlineplus.gov)
- The types of symptoms and their severity are dependent on the area of the spinal cord affected. (encyclopedia.com)
- Symptom criteria include the evolution of symptoms peaking over four hours to 21 days, with symptoms clearly traceable to spinal cord dysfunction, and including muscle weakness or paralysis and sensory defects such as numbness occurring on both sides of the body. (encyclopedia.com)
- Osseous destruction is often associated with mechanical instability, intractable pain, radiculopathy, and symptoms of cord compression. (ajnr.org)
- Due to the insensitivity of the body's reaction ability in the elderly, the early clinical symptoms are not typical, and the imaging findings are easily confused with spinal tuberculosis. (scirp.org)
- The actual cause of compression to the spinal cord that causes the clinical signs or symptoms. (cornell.edu)
Pressure on the spinal cord1
- Trauma from a car accident can put tremendous pressure on the spinal cord. (bressmanlaw.com)
Fracture2
- You have back pain and you think you may have a compression fracture. (medlineplus.gov)
- If the nerves and/or the spinal cord are involved in the fracture, the person may also experience bladder or bowel dysfunction, tingling, weakness in the limbs and numbness. (stvincenthospital.com)
Lesion6
- Dexamethasone (a potent glucocorticoid) in doses of 16 mg/day may reduce edema around the lesion and protect the cord from injury. (wikipedia.org)
- Malignant spinal cord compression (MSCC) is defined as the compression of the dural sac and its contents (spinal cord or cauda equina) by an extradural or intradural mass, which may lead to irreversible neurological damage such as paraplegia or tetraplegia depending on the level of the lesion. (palcareindia.com)
- Syringomyelia is a common spinal cord lesion. (biomedcentral.com)
- However, if the spinal cord is injured, the parasympathetic response cannot travel below the spinal cord lesion, and continued vasoconstriction then leads to continued injurious hypertension. (merckmanuals.com)
- Clinicians should suspect autonomic dysreflexia if patients have a T6 or higher spinal cord lesion and report headache. (merckmanuals.com)
- An X-ray and magnetic resonance imaging undertaken on 31 Month9 identified an L2 lytic lesion, as well as significant spinal cord compression. (hdc.org.nz)
Malignant spinal2
- Emergency radiation therapy (usually 20 grays in 5 fractions, 30 grays in 10 fractions or 8 grays in 1 fraction) is the mainstay of treatment for malignant spinal cord compression. (wikipedia.org)
- Material and Methods: Prospective descriptive cross sectional study to assess prognostic factors and clinical outcome of malignant spinal compression among patients attending Suez Canal university hospital in period from 2016 to 2017. (researchbib.com)
Fractures8
- Vertebral Compression Fractures Most vertebral compression fractures are a consequence of osteoporosis, are asymptomatic or minimally symptomatic, and occur with no or minimal trauma. (msdmanuals.com)
- Compression fractures can occur suddenly. (medlineplus.gov)
- Most compression fractures are seen in older people with osteoporosis. (medlineplus.gov)
- These fractures often do not cause injury to the spinal cord. (medlineplus.gov)
- Most compression fractures due to injury heal in 8 to 10 weeks with rest, wearing of a brace, and pain medicines. (medlineplus.gov)
- Taking steps to prevent and treat osteoporosis is the most effective way to prevent compression or insufficiency fractures. (medlineplus.gov)
- Spinal fractures are caused by accidents or high-energy trauma. (stvincenthospital.com)
- Dans une étude cas-témoins rétrospective menée en milieu hospitalier en 2011-2012, des adultes atteints de maladies lymphoprolifératives (n = 130) ont été recrutés dans des services de consultations externes à Menoufia (Égypte), tandis que les témoins appariés pour l'âge et le sexe (n = 130) recrutés souffraient de fractures. (who.int)
Vertebral3
- There are just a few case reports about spinal cord disorders caused by the accumulation of monosodium urate crystals in the vertebral column joints. (apexionmsolutions.com)
- Vertebral osteomyelitis is the most common kind of spinal infection which can be caused by spinal trauma and/or bacterial or fungal infection that spread from the blood. (stvincenthospital.com)
- Therefore, in the present study, we used immunohistochemistry and electron microscopy to examine the alterations to the white matter that are initiated by compression SCI applied at T12 vertebral level. (elsevierpure.com)
Metastases10
- Although ENBs often recur and have an aggressive clinical course, spinal metastases are extremely rare and the underlying molecular mechanisms are poorly understood. (thejns.org)
- Here, the authors describe a 50-year-old male with an aggressive ENB, initially treated with resection and chemotherapy/radiation, who developed multiple thoracic and lumbar spinal metastases. (thejns.org)
- Surgical repair of spinal metastases from renal origin is often complicated by excessive bleeding. (ajnr.org)
- Twenty spinal metastases from renal origin (17 patients) treated by preoperative embolization with polyvinyl alcohol particles were analyzed retrospectively. (ajnr.org)
- A control group of 10 patients with 11 spinal metastases of renal origin underwent surgery without embolization. (ajnr.org)
- Preoperative embolization of spinal metastases of renal origin with polyvinyl alcohol particles is safe and might reduce intraoperative blood loss significantly. (ajnr.org)
- There is, however, limited data about the effect of preoperative embolization on intraoperative blood loss in spinal metastases of renal origin (6, 7, 15) . (ajnr.org)
- This retrospective study included 18 consecutive patients with 21 symptomatic spinal metastases who underwent preoperative spinal angiography and embolization at our institution between October 1995 and August 1999. (ajnr.org)
- The control group consisted of 10 consecutive patients with 11 spinal metastases of renal carcinoma, which were treated surgically without preoperative embolization between April 1994 and April 1997. (ajnr.org)
- Patients with known brain metastases, leptomeningeal carcinomatosis, and/or spinal cord compression. (who.int)
Nerves7
- Occasionally, the spinal nerves are affected. (msdmanuals.com)
- It also protects your spinal cord, an important bundle of nerves that carries messages from your brain to the rest of your body. (adventhealth.com)
- External compression to the spinal cord can interfere with the normal function of the nerves. (spring-hope.com)
- This compression puts pressure on the nerves in the spinal cord. (bressmanlaw.com)
- Cauda equina (the Latin word for hose's tail) is the bundle of spinal nerves at the end of the spinal cord. (stvincenthospital.com)
- Spinal nerves branch off from the spinal cord at each spinal segment through intervertebral foramina between adjacent vertebrae. (spine-health.com)
- A bundle of nerves descends from the bottom of the spinal cord to form the cauda equina. (spine-health.com)
Thoracic1
- T1 and T2 magnetic resonance imaging (MRI) images show cord compressing tumoral mass at D1 to D5 thoracic vertebras. (scirp.org)
Lesions2
- Compression is caused far more commonly by lesions outside the spinal cord (extramedullary) than by lesions within it (intramedullary). (msdmanuals.com)
- The term acute flaccid myelitis was created in fall of 2014 to describe patients with sudden onset of acute flaccid limb weakness without a known cause and with lesions in gray matter of the spinal cord. (cdc.gov)
Trauma1
- There may be a history of trauma, a recent spinal procedure and/or the patient may be on anticoagulant therapy. (patient.info)
Acute6
- When acute it can cause a medical emergency independent of its cause, and require swift diagnosis and treatment to prevent long-term disability due to irreversible spinal cord injury. (wikipedia.org)
- Acute compression develops within minutes to hours. (wikipedia.org)
- Hurlbert RJ, Hamilton MG. Methylprednisolone for acute spinal cord injury: 5-year practice reversal. (cns.org)
- may cause acute, subacute, or chronic spinal cord compression. (msdmanuals.com)
- Acute spinal cord compression is a neurosurgical emergency. (patient.info)
- Spinal infections can be acute or chronic. (patient.info)
Vertebrae2
- The intervertebral discs (the cushion that resides in the space between adjacent spinal vertebrae) are subject to a number of degenerative conditions and forces that predispose them to bulge or rupture over time. (homevet.com)
- The spinal cord runs through holes in the center of the vertebrae and above the intervertebral discs, safely protected from harm. (cornell.edu)
Model of spinal cord i1
- Our laboratory has previously described the characteristics of neuronal injury in a rat compression model of spinal cord injury (SCI), focussing on the impact of this injury on the gray matter. (elsevierpure.com)
Occurs6
- However, when the spinal cord compression occurs rapidly or suddenly, the patient may become paralysed. (spring-hope.com)
- CES occurs due to spinal nerve compression which also disturbs the sensory and motor function of the bladder and lower extremities. (stvincenthospital.com)
- This study demonstrates that substantial white matter damage occurs following compression SCI in the rat. (elsevierpure.com)
- Autonomic dysreflexia is a disorder of autonomic nervous system dysregulation that occurs in patients with a spinal cord injury and that can result in life-threatening hypertension. (merckmanuals.com)
- It occurs in 20% to 70% of patients, 1 month to 1 year after spinal cord injury. (merckmanuals.com)
- Autonomic dysreflexia occurs after a spinal cord injury and can result in life-threatening hypertension. (merckmanuals.com)
Extradural3
- Spinal cord compression is more commonly of extradural in origin. (palcareindia.com)
- MRI showed extradural masses compressing the spinal cord and roots at two spinal levels. (apexionmsolutions.com)
- We placed cotton strips under the T13 lamina of 40 8-week-old rats and blocked CSF flow by extradural compression. (biomedcentral.com)
Instability1
- This instability allows abnormal bending between the two bones, which causes compression of the spinal cord . (acvs.org)
Caused by metastatic1
- Surgery is generally conducted among patients suffering from spinal cord compression caused by metastatic cancer. (indiatimes.com)
Injury to the spinal cord1
- The severity of the injury to the spinal cord depends both on the amount of pressure, and the duration of the condition. (acvs.org)
Patients9
- The median survival of patients with metastatic spinal cord compression is about 12 weeks, reflecting the generally advanced nature of the underlying malignant disease. (wikipedia.org)
- Even minor spinal injuries can cost patients an average of $347,484 for just the first year alone, according to Christopher and Dana Reeve Foundation. (bressmanlaw.com)
- Spinal Services work together with other specialities to provide the best possible care for patients. (uhb.nhs.uk)
- The team provides a supraregional tertiary referral service for patients requiring specialist spinal input. (uhb.nhs.uk)
- Patients will be assessed by a member of the multidisciplinary team (e.g. consultant, spinal physiotherapist, specialist registrar and clinical nurse specialist) and treatment options will be discussed. (uhb.nhs.uk)
- Referrals and appointments Patients can be referred to Spinal Services by their GP or contact their consultants' secretary for follow up appointments. (uhb.nhs.uk)
- Any stimulus that causes pain or discomfort (eg, pressure sores, ingrown toenails) in a patient without spinal cord injury may result in autonomic dysreflexia in patients with spinal cord injury. (merckmanuals.com)
- Anterior surgical decompression and stabilization are the treatments of choice for radiation-resistant metastatic spinal tumors, resulting in improved neurologic function and pain reduction in more than 80% of patients (4, 5) . (ajnr.org)
- Patients presented with spinal cord compression. (bvsalud.org)
Canal4
- The ageing process can lead to narrowing of the spinal canal due to osteophytes, herniated discs and ligamentum flavum hypertrophy. (patient.info)
- Spinal cord sections, staining and immunohistochemistry were performed 8 weeks after surgery, the ratio of the central canal to the spinal cord area was calculated, and ependymal cells were counted. (biomedcentral.com)
- The ratio of the central canal to the spinal cord area reached (2.9 ± 2.0) × 10 −2 , while that of the sham group was (5.4 ± 1.5) × 10 −4 . (biomedcentral.com)
- this may be the first case of HADD inside the spinal canal. (medscape.com)
MSCC3
- Introduction: Metastatic spinal cord compression (MSCC) is usually an oncological emergency and a well-recognized complication of cancer. (researchbib.com)
- Many different schedules are used world wide for radiotherapy (RT) of metastatic spinal cord compression (MSCC). (elsevierpure.com)
- Metastatic spinal cord compression (MSCC) is a complication of cancer that often requires emergency care. (stvincenthospital.com)
Tumors3
- The most common causes of cord compression are tumors, but abscesses and granulomas (e.g. in tuberculosis) are equally capable of producing the syndrome. (wikipedia.org)
- Tumors that commonly cause cord compression are lung cancer (non-small cell type), breast cancer, prostate cancer, renal cell carcinoma, thyroid cancer, lymphoma and multiple myeloma. (wikipedia.org)
- Embolization has been used as a presurgical maneuver in the treatment of a variety of primary and secondary spinal tumors (6-22) . (ajnr.org)
Disorders1
- Overview of Spinal Cord Disorders Spinal cord disorders can cause permanent severe neurologic disability. (msdmanuals.com)
Secondary2
- Jackson W, Sethi A, Vaidya R et al (2007) Unusual spinal manifestation in secondary hyperparathyroidism: a case report. (springer.com)
- Oyinbo CA. Secondary injury mechanisms in traumatic spinal cord injury: a nugget of this multiply cascade. (cns.org)
Severe5
- We describe a 44-year-old uremic female on long-term continuous ambulatory peritoneal dialysis who developed UTC in the peri-odontoid region with consequent atlantoaxial subluxation and spinal cord compression, featuring severe neck soreness, headache, and hypertension. (springer.com)
- If that cord gets injured, or compressed from impact, disease, or normal wear-and-tear, you may find yourself experiencing severe pain or weakness in the legs or a loss of balance - and looking for answers. (adventhealth.com)
- Victims of spinal cord injuries - from minor to severe - may also experience depression, anxiety, and other psychological effects. (bressmanlaw.com)
- Large bone spurs and severe disc herniation cause spinal cord compression. (spine-health.com)
- Autonomic dysreflexia should be suspected in a patient with a spinal cord injury above the level of T6, severe hypertension, and increased sympathetic activity, especially if provoked by distention of a hollow viscus. (merckmanuals.com)
Multiple myeloma1
- Mrs A was transferred to Hospital 2 on 1 Month10, where she was diagnosed with multiple myeloma and underwent spinal stabilisation surgery. (hdc.org.nz)
Neck5
- People with spinal cord compression do not necessarily complain of neck pain or back pain. (spring-hope.com)
- Damage to the spinal cord may be a very rare complication of chiropractic or osteopathic manipulation of the neck. (patient.info)
- The spinal cord descends from the brain, traveling down through the neck and ending at the upper part of the low back. (spine-health.com)
- Spinal cord compression in the neck may cause bending or twisting of blood vessels that supply the spinal cord and the brain. (spine-health.com)
- Depending on where the problem is and how the disc presses against the spinal cord, only one leg may be affected, or the dog might walk well but have neck pain. (cornell.edu)
Paralysis2
- Spinal Cord Compression treatment Singapore stop paralysis. (spring-hope.com)
- Transverse myelitis is an inflammation of the full width of the spinal cord that disrupts communication to the muscles, resulting in pain , weakness, and muscle paralysis. (encyclopedia.com)
Clinical2
- We're here to provide those answers as well as treatments for spinal cord compression, not just with clinical solutions, but with a comprehensive, whole-person approach that addresses all of your physical, emotional, and spiritual needs. (adventhealth.com)
- Clinical features depend upon the extent and rate of development of spinal cord compression. (patient.info)
Occur3
- Complete transection of the spinal cord can occur. (patient.info)
- Hemisection of the spinal cord can occur and is known as Brown-Séquard's syndrome. (patient.info)
- Cord injury is usually above the T6 level, with dysreflexia unlikely to occur after an injury below the T10 level. (merckmanuals.com)
Neurological1
- Because there is limited space in a tunnel of bone, the spinal cord can become pinched, resulting in pain and neurological issues. (cornell.edu)
Chronic1
- Chronic compression develops over months to years. (msdmanuals.com)
Involvement1
- Diagnosis involves meeting specific symptom criteria, as well as demonstrating spinal cord involvement with MRI scanning and examination of cerebrospinal fluid. (encyclopedia.com)
Surgery6
- Surgery is indicated in localised compression as long as there is some hope of regaining function. (wikipedia.org)
- Whatever the cause is, the treatment of spinal cord compression is surgery to free up the spinal cord. (spring-hope.com)
- This requires urgent surgery to free up the spinal cord. (spring-hope.com)
- A cervical MRI may also be done before spinal surgery. (ucsfhealth.org)
- Patient information Patient information outlining the various areas of spinal surgery and the treatments available. (uhb.nhs.uk)
- Fellowships The Royal Orthopaedic Hospital NHS Foundation Trust and Queen Elizabeth Hospital Birmingham offer a combined 12 month advanced training fellowship in spinal surgery. (uhb.nhs.uk)
Arteriovenous2
- Spinal Cord Arteriovenous Malformations (AVMs) Arteriovenous malformations (AVMs) in or around the spinal cord can cause cord compression, ischemia, parenchymal hemorrhage, subarachnoid hemorrhage, or a combination. (msdmanuals.com)
- Spinal arteriovenous malformation with hypogastric blood supply. (nih.gov)
Irreversible1
- But the induction with kaolin is irreversible, the damage to spinal cord is persistent, and it is impossible to observe any recovery process. (biomedcentral.com)
Diagnosis and management1
- Rapid diagnosis and management of spinal cord compression are essential to have the highest chances of preventing permanent loss of function. (patient.info)
Subacute1
- Subacute compression develops over days to weeks. (wikipedia.org)
Deficit caused1
- The BBB score indicated that the locomotor deficit caused by compression is temporary and can spontaneously recover. (biomedcentral.com)
Damage2
- On the 12th postoperative day minipigs were perfusion fixed and the extent of damage was evaluated by postmortem MRI of dissected spinal cords. (cns.org)
- This rupture leads to two types of damage to the spinal cord, compression and concussion. (homevet.com)
Radiation Therapy1
- Objective: To investigate precision radiation therapy for metastatic spinal cord compression and compare it to conventional radiation therapy. (uni-luebeck.de)
Segment2
- The exposed L1 spinal cord segment was compressed by a computer operated 5mm thick circular rod with a peak force 0,8 kg at a velocity of 3cm/sec. (cns.org)
- MRI analyses showed loss of spinal white matter integrity and cavitations in epicentre of SCI with longitudinal spreading for one segment cranially and caudally. (cns.org)
Treatment4
- It is concluded that spinal cord compression in myelofibrosis and PRV has a high mortality, with combined treatment providing a better prognosis. (bmj.com)
- Treatment is directed at relieving compression. (msdmanuals.com)
- As you seek treatment for spinal cord compression, you may see a variety of specialists. (bressmanlaw.com)
- Regression of cervical spinal cord compression in a patient with chordoma following treatment with cetuximab and gefitinib. (lu.se)