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Spinal Cord Concussion

Concussions Cord Spinal


Presentation

  • A brief discussion of both OI and spinal cord concussion is presented.[ncbi.nlm.nih.gov]
  • Thirteen cases are presented. A variety of clinical presentations may occur, all of which can be explained on the basis of the magnitude or direction of acceleration of the spinal cord.[ncbi.nlm.nih.gov]
  • The authors present the case of a professional ice hockey player, without evidence of canal compromise, who sustained an SCC during a regulation game after being struck by a puck in the upper cervical spine.[ncbi.nlm.nih.gov]
  • The clinical and radiological features of 19 SCC injuries in the general population are presented.[ncbi.nlm.nih.gov]
Short Stature
  • Although the patient had no prior fractures or any of the classic stigmata of OI except for short stature, plain radiographic and MRI findings in conjunction with his family history support the diagnosis of OI.[ncbi.nlm.nih.gov]
Abdominal Pain
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself[nejm.org]
Insect Bite
  • bite or sting, venomous ( T63.4 ) Injuries to the neck S14 ICD-10-CM Diagnosis Code S14 Injury of nerves and spinal cord at neck level 2016 2017 2018 2019 Non-Billable/Non-Specific Code Code Also any associated: fracture of cervical vertebra ( S12.0-[icd10data.com]
  • Excludes2 burns and corrosions ( T20 - T32 ) effects of foreign body in esophagus ( T18.1 ) effects of foreign body in larynx ( T17.3 ) effects of foreign body in pharynx ( T17.2 ) effects of foreign body in trachea ( T17.4 ) frostbite ( T33 - T34 ) insect[icd10coded.com]
Purpura
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized[nejm.org]
Back Pain
  • However, less than 0.1% of people with back pain who visit their general practitioner have spinal metastases [ 3 ].[patient.info]
  • However, less than 0.1% of people with back pain who visit their general practitioner have spinal metastases [ 3 ] .[patient.info]
  • Non-Traumatic Conditions Low Back Pain (LBP) Causes tumor prolapsed disk bursitis degenerative joint disease problems with spinal mobility inflammation caused by infection fractures ligament strains 50.[slideshare.net]
Osteopenia
  • Thoracolumbar spine radiography and magnetic resonance imaging (MRI) showed multiple compression fractures and marked osteopenia of the vertebrae.[ncbi.nlm.nih.gov]
Small Hand
  • Most people's symptoms disappear within 10 days, but a small handful suffer from post-concussion syndrome , which includes a wide range of symptoms.[spinalcord.com]
Flaccid Paralysis
  • Flaccid paralysis gradually changes over hours or days to spastic paralysis with increased deep tendon reflexes due to loss of descending inhibition.[merckmanuals.com]
  • Neurogenic Shock Presentation Flaccid paralysis distal to injury site Loss of autonomic function hypotension or relative hypotension vasodilation loss of bladder and bowel control priapism loss of thermoregulation warm, pink, dry below injury site relative[slideshare.net]
Localized Numbness
  • Localized numbness or tingling. Difficulty coordinating movements. Difficulty speaking. Problems with attention. A contusion often occurs after a fall, or a blow with a sharp object.[spinalcord.com]
Slurred Speech
  • Slurred speech. Changes in speech. Difficulty responding to questions. Difficulty understanding conversations.[spinalcord.com]
Tantrums
  • Slurred or incoherent speech; the person might appear drunk In children, concussions may cause tantrums, emotional dysregulation, and behavior regression, such as wetting the bed. Note that these symptoms vary.[spinalcord.com]
Urinary Retention
  • One patient had perianal and genital sensory deficit and one (4.2%) had urinary retention.[ncbi.nlm.nih.gov]
  • Presentation [ edit ] CCS is characterized by disproportionately greater motor impairment in upper compared to lower extremities, and variable degree of sensory loss below the level of injury in combination with bladder dysfunction and urinary retention[en.wikipedia.org]
  • The latter can lead to neurogenic shock, paralytic ileus, aspiration, urinary retention, priapism and loss of thermoregulation. Clinical features depend upon the extent and rate of development of cord compression.[patient.info]

Workup

Treatment

  • Immediate treatment can reduce long-term effects. Treatments may include medicines, braces or traction to stabilize the spine, and surgery. Later treatment usually includes medicines and rehabilitation therapy.[icdlist.com]
  • If there is a brain bleed or other serious symptom, this might require surgical treatment. Prognosis for Concussions Most people make a full recovery from a concussion, even without medical treatment.[spinalcord.com]
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself[nejm.org]
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized[nejm.org]
  • Headache Program Expertise in childhood neurological conditions The neurologists and neurosurgeons who specialize in Brain and Spinal Cord Disorders at Pediatric Specialists of Virginia (PSV) are experts in the evaluation and treatment of brain, spine[psvcare.org]

Prognosis

  • The patient diagnosed with spinal cord concussion has a good prognosis, with rehabilitation as the main therapeutic approach.[ncbi.nlm.nih.gov]
  • Prognosis for Concussions Most people make a full recovery from a concussion, even without medical treatment.[spinalcord.com]
  • Prognosis The spinal cord has very limited powers of regeneration. Prognosis for neurological deficit depends on the magnitude of the spinal cord damage present at the onset.[patient.info]
  • Spinal cord injury without neuroimaging abnormality" more correct name Following findings on MRI have been recognized as causing primary or secondary spinal cord injury: Intervertebral disk rupture Spinal epidural hematoma Cord contusion Hematomyelia Prognosis[orthopaedicsone.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Etiology See Table 27-8 .[unboundmedicine.com]
  • Etiology See Table 27-8.[unboundmedicine.com]
  • "Traumatic Central Cord Syndrome: Etiology, Management, and Outcomes". Topics in Spinal Cord Injury Rehabilitation. 15 (3): 73–84. doi : 10.1310/sci1503-73. Archived from the original on 2012-07-16.[en.wikipedia.org]
  • Motor and sensory loss may be permanent or temporary, depending on the etiology; function may be lost briefly due to concussion or more lastingly due to a contusion or laceration.[merckmanuals.com]

Epidemiology

  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[amjorthopedics.com]
  • He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education.[lifeinthefastlane.com]
  • Epidemiology of player—player contact injuries among US high school athletes, 2005–2009. Clin Pediatr (Phila) 2011;50:594–603. Cantu RC, Mueller FO. Brain injury-related fatalities in American football, 1945–1999. Neurosurgery 2003;52:846–53.[imic.or.jp]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology of SCC has been related to underlying spinal canal stenosis in many cases, yet is not always identified.[ncbi.nlm.nih.gov]
  • Riluzole acts on the sodium channels in cells, helping to prevent the accumulation of excess sodium in cells that results as a part of the flow of post-injury pathophysiological events after spinal cord injury.[onf.org]
  • "Central cord injury: pathophysiology, management, and outcomes". The Spine Journal. 6 (6 Suppl. 1): 198S–206S. doi : 10.1016/j.spinee.2006.04.006. PMID 17097539. a b c Nowak, Douglas D.; Joseph K. Lee; Daniel E. Gelb; Kornelis A.[en.wikipedia.org]
  • […] canal diameter is already compromised by spondylosis has a high risk of cord injury Excessive anterior buckling of ligamentum flavum into canal, already compromised by posterior vertebral body osteophytes, probably is the cause of central cord syndrome Pathophysiologic[orthopaedicsone.com]

Prevention

  • Tackling education is the key to preventing spinal cord concussions and other serious SCIs that can deprive victims of their mobility.[mwkfirm.com]
  • There are four areas that an athlete can focus on to prevent a serious neck injury.[sportsmd.com]
  • Rapid diagnosis and management are essential to have the highest chances of preventing permanent loss of function.[patient.info]

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