What are the symptoms in the primary stages of myelitis?

In the early stage of the disease, in the stage of spinal cord shock, the limb is flaccid paralysis, which is also known as soft paralysis. After 2 to 4 weeks, the limb gradually becomes spastic paralysis, also known as clerolysis, and the problem of urination changes from urinary retention to urinary incontinence. When the lesion involves the cervical spinal cord, quadriplegia may occur.

If it affects the high neck (above C4), dyspnea can also occur. Cervical enlargement myelitis can present with paraplegia of both upper limbs and cleroparesis of both lower limbs.

The sequelae of polio are caused by poliovirus infection. Mild sequelae of polio that do not leave sequelae. Only children with paralysis symptoms due to severe damage to the nervous system may have sequelae, muscle atrophy, limb or trunk deformity, affecting the child's motor function, and the harm is relatively large.

If you have serious sequelae, surgery is generally not necessary. However, if the child is paralyzed, muscular atrophy or severe limb deformity for a long time, the best effect can be achieved through surgery. Patients with sequelae of polio who are infected by the virus** have lifelong immunity against the virus and will not be able to do it again**.

How long has the patient had this condition.

The initial symptoms of myelitis are motor, sensory, and autonomic dysfunction below the level of the lesion, and the motor symptoms of myelitis in the early stage usually manifest as spinal shock, with quadriplegia or flaccid paralysis of both lower limbs, hypotonia, loss of tendon reflexes, and negative pathological signs. The spinal shock period can last for 3 to 4 weeks and can be prolonged if there is a pulmonary or urinary tract infection. After the spinal cord shock period, the patient's muscle strength can be gradually restored, and in addition to movement disorders, the patient's sensory impairment can be manifested below the level of spinal cord damage, loss of depth and shallowness, and there is often a hyperesthesia band on the upper edge of the sensory loss area.

Autonomic dysfunction manifests in the early stages with urinary retention and a feeling of unfilled bladder.

Usually the earliest location of spondylitis is in the sacroiliac joint, the pain can radiate to the buttocks and the back of the thighs, sometimes to the outer or front of the thighs, and some early manifestations will also manifest as back pain, often stiff in the morning, and even wake up in the middle of the night due to stiffness and pain. It is recommended to maintain a good standing and sitting posture every day, and to do activities such as deep breathing, chest expansion, and trunk straightening every day. Avoid living in a cold and damp environment, remind you to pay attention to other family members for symptoms of ankylosing spondylitis, such as back pain, morning stiffness, etc., if you have the above symptoms, you should seek medical attention as soon as possible.

Pain, numbness, fatigue, sensory disturbances, fever, bone pain, difficulty walking, local redness and swelling.

The clinical symptoms of myelitis can vary according to the location and extent of the lesion. Because of the long thoracic medullary cord segments and poor blood supply to some segments, lesions often predispose the thoracic cord. The first symptoms are usually numbness and weakness in both lower limbs, back pain in the corresponding part of the lesion, a feeling of banding, or difficulty urinating.

2 After 3 days, the disease progresses to its peak with complete paralysis below the level of the lesion, loss of sensation, little or no sweating, and stool retention. The course of acute myelitis is generally unidirectional, but in some patients, acute myelitis is the first symptom, and the lesion can then involve the optic nerve, the white matter of the brain, or re-involve the spinal cord, thus evolving into neuromyelitis optica, multiple sclerosis, or ** myelitis. Massage and passive functional exercises on the paralyzed limbs to improve the patient's limb blood circulation, prevent limb contracture and rigidity, and encourage the patient to carry out active functional exercises when the patient's limb function gradually recovers, so that it can be used as soon as possible.

Myelitis in the old society had many such patients, polio, etc. Now myelitis is caused by infection, myelitis is very violent, in a short period of time the lower limbs movement disorders, and even affect breathing, which is a manifestation of more acute myelitis. Myelitis also has chronic manifestations, some of which lead to myelitis, and over a long period of time, the patient slowly develops abnormalities in urine and bowel movements, sensation or movement abnormalities in the lower limbs.

Check whether there is significant compression, find pathological damage of magnetic resonance, spinal cord demyelination, and in this case a high suspicion of myelitis. Once myelitis occurs, the first.

First, be sure to go to the hospital as soon as possible**. Myelitis is nothing more than the use of some specific antibiotics, and there are various types of antibiotics. It is also necessary to culture bacteria, etc., which is an important measure. Clause.

Second, it can assist**, increase support**, and being strong is also a condition for resisting infection. In **myelitis, comprehensive measures must be taken to get the best curative effect.

Typical symptoms: pain, numbness, fatigue, sensory disturbances, fever and bone pain, difficulty walking, local redness and swelling, etc.

Common symptoms: The early symptoms of acute myelitis are mostly weakness and numbness of the lower limbs, back pain at the lesion site, and a feeling of banding, and some patients have sudden paralysis without any other symptoms. Sudden numbness and weakness of unilateral or bilateral lower limbs, pain in the corresponding parts, movement disorders and sensory loss, and even urinary retention, paralysis and other manifestations.

May be accompanied by systemic symptoms such as fever.

Motor dysfunction , sensory deficit , dysphagia, dysarthria, shock nerve involvement, spinal intermittent rupture, urinary and urinary retention.

After a polio attack, the limbs become sluggish and gradually lose any consciousness. When the respiratory muscles are paralyzed, the patient experiences asthma, cough weakness, and general malaise. In severe cases, the upper abdomen becomes depressed during normal inspiration.

When bladder muscle paralysis occurs, patients have varying degrees of urinary retention and incontinence. After the onset of the brainstem disease, the symptoms are mainly on the face. Patients may experience facial paralysis, obstruction of eye movements when swallowing severely, and drooping eyelids.

Various types of polio cause respiratory failure due to damage to the central nervous system such as respiratory and blood vessels, and patients with severe polio can die suddenly.

Spinal cord injuries are often caused by spinal fractures, dislocations, or firearm injuries, and are more common in car accidents, falls and falls, sports injuries, crush injuries, and gunshot wounds. Spinal cord injury is an important disabling factor, often leaving behind severe disability, including loss of motor function (paralysis), sensory disturbances, bladder and urinary dysfunction, muscle spasms, joint contractures, pain, pressure sores, psychological disorders, and even breathing disorders. In traditional Chinese medicine, it belongs to the category of "low back pain", "dysentery syndrome", "seizure" and other diseases caused by traumatic blood stasis.

There are three aspects: movement disorder, sensory impairment and autonomic dysfunction.

Myelitis is complex and is often caused by infection with a variety of pathogens, resulting in inflammatory lesions of the gray and white matter of the spinal cord. The common ones are viral myelitis, such as myelitis caused by herpes virus and Epstein-Barr virus infection, and some myelitis caused by bacteria or spirochetes, such as myelitis caused by Mycobacterium tuberculosis and Treponema pallidum infection, and some parasitic myelitis, such as myelitis caused by Toxoplasma gondii, and of course some myelitis of unknown cause.

The typical symptoms of myelitis are mainly unilateral or bilateral sudden numbness and weakness of the lower limbs, and then some pain in the corresponding parts, which can be accompanied by motor dysfunction or loss of sensation, and some patients can also have symptoms of urinary retention and paralysis in severe cases, and some can also be accompanied by low-grade fever, fatigue, or some systemic symptoms of emaciation.

Of course, if this happens, for different drugs, it may be necessary to actively antiviral, anti-inflammatory, and enhance the body's immunity, then the drug can choose anti-infective drugs, antiviral drugs or fresh plasma transfusion to improve the patient's immunity. The other main thing is that the patient is also on bed rest, turning over frequently, and keeping **dry, so for some more serious myelitis, sometimes further treatment may be needed.

Most patients have symptoms of viral infections such as fever, upper respiratory tract infection, and diarrhea 1 to 2 weeks before the onset of spinal cord symptoms. In the early stage of myelitis, there will be fever, radicular pain at the lesion site, numbness and weakness of the limbs, and a feeling of banding at the lesion segment. Some people may have no other symptoms and have a sudden onset of paraplegia.

Motor paralysis, sensory loss, and defecation occur within hours or days below the level of the affected spinal cord. The disease has an acute onset and rapid progression, with the early stage being a phase of spinal cord shock, characterized by limb paralysis, hypotonia, loss of tendon reflexes, and negative pathological signs.

The main pathogens are influenza virus, herpes zoster virus, rabies virus, poliovirus, etc., and in recent years, there have been reports of myelitis caused by hepatitis virus.

Generalized fever, diarrhea, fatigue, paralysis, weakness, bladder dysfunction, incontinence, and further ascending, dyspnea, unable to breathe spontaneously, as the disease progresses.

Myelitis is divided into several conditions, purulent myelitis, acute myelitis, acute disseminated encephalomyelitis, subacute necrotizing myelitis, tuberculous myelitis, myelitis symptoms are also divided into a variety of symptoms, young adults may have a history of tuberculosis exposure or tuberculosis in the early stage of the disease, usually slow onset, and then spinal cord symptoms at the same time as low-grade fever, anorexia, weight loss, night sweats, etc. Some of them can be manifested as neck pain, chest and back pain, banding sensation, numbness, weakness, dryness and so on due to the different locations of the spinal cord invasion. Some will have lung infections, urinary tract infections, pressure ulcers, etc.

The initial stage of spondylitis is manifested as lower back pain, because spondylitis first erodes the sacroiliac joint, gradually spreads upward, and calcifies the ligaments of various joints of the spine.

x-ray: early perivertebral joint protrusion, blurred sacroiliac joint space; mid-term spine mobility limitation and rigidity, erosion-like changes in the sacroiliac joints, bony destruction of some ligaments, and blurring of the spacelet space of the square vertebrae; Late sacroiliac joint fusion, spine is bamboo-like, spine is stiff and hunched, and bamboo-like changes The initial stage of spondylitis is manifested as lower back pain, because spondylitis first erodes the sacroiliac joint, gradually spreads upward, and calcifies the ligaments of various joints of the spine

Laboratory tests are required to confirm the diagnosis: erythrocyte sedimentation rate, rheumatoid negative, and HLA-B27 strong. X-rays:

early perivertebral joint protrusion, blurred sacroiliac space; mid-term spine mobility limitation and rigidity, erosion-like changes in the sacroiliac joints, bony destruction of some ligaments, and blurring of the spacelet space of the square vertebrae; In the late stage of sacroiliac joint fusion, the spine is bamboo-like, and the spine is stiff and hunched, showing bamboo-like changes.

Fever, pain, and lack of energy.

Typical symptoms of the early stages of myelitis.

There are sudden numbness and weakness of unilateral or bilateral lower limbs, pain in the corresponding parts, movement disorders and sensory loss, and even urinary retention, paralysis and other manifestations. May be accompanied by systemic symptoms such as fever.