What happens to spinal cord lesions? What causes spinal cord lesions?

Spinal cord lesions are very serious and must be carried out accordingly as soon as possible. In general, the first symptom is pain, because the spinal cord is also a nerve tissue surrounded by sensory nerves, so once a spinal cord lesion occurs, there is often pain in the corresponding segments, among which the pain in the lower back or chest is the most serious.

It will be paralyzed, it will be incontinent, it will get ** disease, etc.

Inflammation, after the virus invades the spinal cord, the delay is improper, and the qualitative changes of the spinal cord are called spinal cord degeneration, and the necrosis of the spinal cord that continues to deteriorate and degeneration will lead to spastic high paraplegia, and whether it can be recovered must be correct.

Due to the lack of understanding of the condition, it is necessary to explain in detail the age of onset, the time of onset, the exact location of the onset, the results of the examination (original magnetic resonance**), the detailed symptoms of the current condition, and the more detailed the better, which is of great help to the qualitative analysis, evaluation and ** of the condition, to see if it can help you. Inflammation, viruses, edema, trauma, many causes can cause spinal cord damage, spinal cord degeneration is the onset of ** delay after the onset of ischemic spinal cord degeneration or spinal cord atrophy scarring necrosis. If you need to send an MRI** to guide you.

It is suggested that the continued deterioration of inappropriately delayed ** can lead to spastic painful high paraplegia. Myelitis is an inflammatory disease that destroys the function of the spinal cord, and can be divided into acute myelitis and subacute myelitis. The lesion usually occurs in the thoracic spinal cord, and if the lesion invades only a few segments of the gray and white matter of the spinal cord, it is called transverse myelitis.

The exact ** is not well understood, but it may be caused by a viral infection or due to the body's autoimmune response after a viral infection. Trauma, cold, and overwork can be predisposing factors. It must be differentiated from Guillain-Barré syndrome, anterior spinal artery occlusion, and acute spinal cord compression due to epidural abscess, haematoma, or tumor.

Take the medicine regularly and quantitatively according to the doctor's instructions, do not stop or reduce the dose by yourself, and report nausea, abdominal distention, and black stool during the medication. It is also necessary to pay attention to strengthening nutrition, enhancing the body's immunity, preventing colds, and avoiding the recurrence of diseases caused by colds. Strengthen the active or passive functional exercise of the limbs, so that the paraplegic limbs can maintain the functional position of the limbs and obtain the functions of the limbs through the cells.

It's very important to remember the early days. Here are some recommendations from experts for patients** [General**] 1 Strengthen nutrition and eat foods that are high in protein and vitamins. 2 Keep warm and avoid cold.

3 Keep ** clean and dry, keep the sheets dry, soft and flat; Turning over frequently; The paralyzed limb remains in a functional position and passive movements are performed as soon as possible; Place air rings or soft pads on the sacrum, ankles, shoulder blades, etc., and massage frequently, followed by safflower alcohol. 4. Keep the airway open and remove respiratory secretions in time. For people with dyspnea, oxygen should be given as soon as possible; If the cough is weak and cannot discharge sputum, the tracheotomy should be made in time, and artificial ventilator should be used if necessary.

For patients who have been on artificial ventilators, sputum suction should be timely, not more than 15 seconds, and the interval between the two should be 3 5 minutes; Humidified solution should be dripped into the trachea, 2 5ml times, 1 time every 15 minutes; The inner cannula is replaced 2 times a day, the outer cannula is replaced once every half a month, and the gauze pad is replaced 2 times a day. 5 For patients with urinary retention, the urinary catheter should be kept and opened once every 3 to 5 hours. And rinse the bladder with O 1 furacillin or 3 boric acid solution, 1 2 times a day, 250ml times, keep for half an hour and then release.

There are several reasons why spinal cord lesions can lead to spinal cord lesions

1. Spinal cord diseases: spinal cord lesions can be caused by vertebral fractures, intervertebral disc herniation, spinal stenosis, spinal tuberculosis, spinal primary tumors and metastases.

2. Extraspinal lesions in the neuraxial canal, such as extramedullary tumors such as neurofibromas and meningiomas, spinal cord vascular malformations, epidural abscesses, etc.

3. Intraspinal cord lesions, such as spinal cord tumors, tuberculoma, hemorrhage, etc.

Spinal cord lesions mainly cause symptoms of spinal cord compression, which are mainly manifested by loss of pain and temperature sensation, while the sensation of touch, vibration, and position is normally preserved. Most patients present with decreased muscle strength of the limbs, often manifested as loss of head strength in one or both muscle malfunctions, and some patients also have muscle atrophy.

Since cervical myelopathy is not as common as other types of cervical spondylosis, patients naturally take it lightly. But in fact, this idea is very dangerous, because the disease is not inferior to other types of cervical spondylosis. Next, I will tell you about the symptoms of this disease, and I hope you will prevent it as soon as possible.

What are the symptoms of spinal cord lesions.

Symptom 1: In the early stage, the patient will feel tightness and weakness in the lower limbs, the pace is chaotic when walking, and the legs are very heavy as if they have been filled with lead. If the disease lasts too long, the patient may also have a limp gait and walk more difficult.

Soreness and weakness may also occur in the upper limbs, and sometimes objects may slip out of the hands. The limbs feel like an electric shock, and accompanied by headache, dizziness and other discomforts, patients may sometimes have frequent urination and urgency, incomplete urination, and weak defecation.

Symptom 2: After the advanced stage, patients may develop severe symptoms such as fecal incontinence and limb paralysis. There is an obstacle to the movement of the neck, especially when it is extended backwards.

There is varying degrees of tenderness in the neck, and there is sensory deficit below the compressed spinal cord segment.

Symptom 3: X-ray of the cervical spine shows the disappearance or reverse arch of the cervical spine, narrowing of the intervertebral space, anterior slippage of the vertebral body and articular process, and labial hyperplasia at the edge of the vertebral body. CT or MRI of the cervical spine shows a herniated cervical disc that is posteriorly protruding and compressing the spinal cord.

Precautions. Don't relax your vigilance because cervical myelopathy is uncommon, because the disease is very harmful to patients, once the symptoms appear, it is necessary to actively carry out **, the sooner ** the effect will be better, and the probability will be greater.

Weakness of the body's limbs may occur.

There are many causes of spinal cord lesions, such as myelitis, spinal cord compression, spinal cord vascular disease, including ischemic vascular disease, hemorrhagic vascular disease, etc., each spinal cord lesion will cause three main symptoms: movement disorders, sensory disorders, and autonomic disorders.

The severity of symptoms varies depending on the degree of injury. It may have the following manifestations. During spinal cord shock, it is manifested as flaccid paralysis below the level of injury, loss of movement, reflexes and sphincter function, loss of sensory plane and inability to speak orally, and gradually evolves into spastic paralysis after 2-4 weeks, manifested by increased muscle tone, hyperreflexia of tendons, and pathological vertebral tract signs, thoracic spinal cord injury is paraplegia, cervical spinal cord injury is quadriplegia, and quadriplegia of upper cervical spine injury is spastic paralysis, Quadriplegia with lower cervical spine injury is due to the destruction of the swollen part of the spinal cord and neck, and the upper limbs are flaccid paralysis, and the lower limbs are still spasmodic paralysis.

The primary disease of spinal cord lesions is different, and the methods taken are also different. Patients should be identified as soon as possible, and then targeted**, commonly used **methods**, including drugs**, surgery**, symptomatic**, and **.

Drugs**. 1. Antibiotics are selected as effective antibiotics to control infections according to the results of etiological examination and drug susceptibility tests, and timely respiratory tract and urinary tract infections to avoid aggravating the condition. 2. Antiviral drugs can be used as acyclovir, ganciclovir, etc.

3. Patients with corticosteroids in the acute phase can be given corticosteroids for **, commonly used drugs such as methylprednisolone, dexamethasone, and prednisone. 4. Neurotrophic drugs such as adenosine triphosphate, citicoline, baclofen, B vitamins, etc., help to restore nerve function. 5. In addition, immunoglobulin, vasodilators (such as niacin, nimodipine) and so on also have a certain effect on spinal cord lesions, which can be reasonably selected according to the characteristics of the disease.

If the pain is severe, analgesics can also be used to relieve the pain under the guidance of a doctor.

Surgery**. 1. Commonly used surgical methods for spinal cord compression include resection of spinal canal space-occupying lesions, laminar decompression and dural cystotomy. 2. Spinal trauma requires surgery to remove broken bones or foreign bodies, clean up hematomas or effusions, and relieve spinal cord compression.

3. Cystic spinal arachnoiditis can be cystectomy. 4. Epidural abscess should be removed by laminectomy. 5. Epidural or subdural hematoma should be operated urgently to remove the hematoma and relieve the compression of the spinal cord.

6. Microsurgical techniques are often used in the clinical practice of spinal cord vascular malformations, ligation or resection of malformed blood vessels, or interventional embolization**. 7. Patients with malignant tumors can undergo tumor resection as appropriate.

Other**. Traditional Chinese Medicine**:

After the condition is stabilized, the paralyzed patient can undergo acupuncture, massage, etc.**.

**Cycle. The cycle is affected by factors such as the severity of the disease, the plan, the timing of the vertical balance, and the age and constitution, and there can be individual differences.

**Expenses. **Costs can vary significantly from individual to individual, and the specific costs are related to the selected hospital, ** plan, medical insurance policy, etc.

Prognosis. General prognosis:

There are many factors that affect the prognosis of spinal cord lesions, such as the nature of the lesion, the degree of spinal cord injury and the timing of spinal cord lesions. In general, the shorter the compression time, the less damage to the spinal cord, and the more timely**, the better the prognosis.

Self-healing: generally does not heal on its own, and needs to be active**.

Routine care. Patients with spinal cord lesions should strengthen nursing, especially life care and psychological care, and pay attention to the monitoring of the condition, and the prevention and treatment of various complications is the premise of ensuring functional recovery. 1. Psychological nursingPatients with spinal cord lesions often have irritability, fear, pessimism and other emotions due to uncomfortable reactions such as paralysis, sensory impairment, abnormal urine and urine.

Family members should communicate more with the patient, and can also understand the basic situation of the disease and the results that can be achieved through communication with the doctor, encourage the patient to cheer up, establish confidence, and actively cooperate. It can also be used to transfer the patient's understanding of the disease by listening, watching movies, reading and reading.

Spinal cord lesions are a common disabling condition. Many patients with spinal cord lesions have serious consequences due to the lack of timely treatment. Spinal cord lesions are a serious disease that must be detected and detected early, which is the basis for avoiding serious harm caused by them.

The symptoms of spinal cord lesions are the basis for early detection and early detection of spinal cord lesions.

1. Neurological dysfunction: often more obvious, due to the lesion affecting the lateral corner, common upper limb trophic disorders, **thickening, burn scars or intractable ulcers, cyanosis and coolness, excessive or little sweating. Bone atrophy, decalcification, and wear and tear of the joints are damaged, but ** feeling.

2. Movement disorders: lower motor neuron paralysis. When the cervical and thoracic cavities of the spinal cord affect the anterior horns, weakness, atrophy, and fasciculations of the thenar muscles, interosseous muscles, and forearm muscles of the hand occur.

Patients with severe atrophy of hand muscles may have eagle claw hands. As the lesion progresses, it can gradually affect the upper arm, shoulder girdle and part of the intercostal muscles, causing paralysis. Lumbosacral cavitation manifests as atrophy of the lower limbs and feet.

Upper motor neuron paralysis. When the lesion compresses the pyramidal tract, signs of upper motor neuron paralysis may occur on one or both sides below the level of injury.

3.Posterior root damage of sensory impairment: posterior angle damage that produces segmental ** sensory impairment (both deep and superficial sensory impairment):

It is manifested as segmental dissociative sensory disorder, that is, ipsilateral pain and temperature sensation disorder, deep sensation and part of the sense of touch are still retained, because the deep sensation and part of the tactile fibers directly enter the posterior cord without passing through the posterior angle;If the lesion involves both sides, there is often a distinct banding sensation. Anterior commissure of white matter: damage to the cross fibers of the spinothalamic tract on both sides, manifested as symmetrical segmental loss of pain and temperature, and the sense of touch is called sensory dissociation because there are uncrossed fibers rising directly in the posterior and anterior cords, so there is no obvious disorder.

Spinothalamic tract lesions: cause fascicle-type sensory deficits characterized by decreased or absent sensation of pain and temperature below the level of the contralateral lesion segment, and deep sensory preservation. Posterior cord damage:

ipsilateral deep sensation below the level of the lesion and partial loss or absence of tactile sensation, walking such as stepping on cotton (sensory ataxia) are seen in tabes dorsalis. After the symptoms of spinal cord lesions have been introduced, once the symptoms of spinal cord lesions appear, it is necessary to choose the correct measures for the patient in time. so as not to cause harm to the body.