Spinal hemorrhagic disease
Introduction
Introduction to spinal cord hemorrhagic disease Spinal cord hemorrhagic disease is an epidural, subdural, and intraspinal hemorrhage that can cause acute transverse spinal cord injury such as severe back pain, paraplegia, sphincter dysfunction, and loss of sensory level. Subdural hematoma is more than dura mater Exogenous hematoma is rare, and the spinal subarachnoid hemorrhage is characterized by rapid neck and back pain, meningeal irritation and paraplegia. If the vascular rupture of the spinal cord surface is caused by only back pain and no spinal cord compression. Epidural or subdural blood should be urgent to remove the hematoma, relieve the spinal cord compression, type of intraspinal hemorrhage, should use dehydrating agent, hemostatic agent. Epidural or subdural blood should be urgently operated to remove the hematoma, relieve the symptoms of spinal cord compression, other types of intraspinal hemorrhage, should be treated for the cause, using dehydrating agents, hemostatic agents. basic knowledge The proportion of illness: 0.001% Susceptible population: common between 60-70 years old Mode of infection: non-infectious Complications: pneumonia, acne, urinary tract infection
Cause
Causes of spinal cord hemorrhagic disease
Epidural hemorrhage (SEH) is more common in men, usually 60-70 years old. Trauma, lumbar puncture, spinal vascular malformation, hemangioma, spinal cord tumor, blood disease, anticoagulation can also lead to spinal cord hemorrhagic disease.
Prevention
Spinal cord hemorrhagic disease prevention
Pay attention to safe production, pay attention to sports safety and prevent trauma.
Complication
Spinal cord hemorrhagic disease complications Complications pneumonia acne urinary tract infection
Traumatic symptoms and secondary pneumonia caused by paraplegia, hemorrhoids, urinary tract infections, etc.
Symptom
Symptoms of spinal cord hemorrhagic disease Common symptoms Spinal cord compression Horsetail injury Back pain Spinal cord hemorrhage Sphincter dysfunction Spinal cord Spinal cord Transverse injury Paraplegia
Spinal cord hemorrhagic disease is epidural, subdural, and intraspinal hemorrhage, which can cause acute transverse spinal cord injury such as severe back pain, paraplegia, sphincter dysfunction, and lesion loss. Subdural hematoma is rarer than epidural hematoma. Most of the spinal subarachnoid hemorrhage showed rapid neck and back pain, meningeal irritation and paraplegia. If the vascular rupture of the spinal cord surface is only back pain and no spinal cord compression.
Examine
Examination of spinal cord hemorrhagic disease
CT or MRI, spinal angiography can be found in hemangioma, vascular malformations.
Diagnosis
Diagnosis and differentiation of spinal cord hemorrhagic diseases
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
It should be differentiated from acute transverse myelitis, Leigh disease, subacute necrotizing myelitis, spinal cord vascular malformation. Acute myelitis often has a history of infection and increased leukocytosis in the cerebrospinal fluid. Spinal vascular malformation can be confirmed by spinal iodine angiography or spinal angiography. Leigh disease is an autosomal recessive hereditary disease. The limbs are spasmodic at the early stage and flaccid in the late stage. The initial stage of sensory disturbance is separation and the latter is complete. CSF can detect the phenomenon of protein cell separation. Myelography can show vascular abnormalities on the surface of the spinal cord, and the lesions are mostly in the lumbosacral segment.
