61. Recognizing Spinal Cord Emergencies - August 15, 2001 - American Family Physicia sign and hyperreflexia are widely understood to be cardinal signs of the uppermotor neuron syndrome that typically occurs in spinal cord compression. http://www.aafp.org/afp/20010815/631.html

Advanced Search Recognizing Spinal Cord Emergencies DAISY ARCE, M.D., and PAMELA SASS, M.D. State University of New York Health Science Center at Brooklyn College of Medicine, Brooklyn, New York HASSAN ABUL-KHOUDOUD, M.D. Pembina County Memorial Hospital and Wedgewood Manor, Cavalier, North Dakota A PDF version of this document is available. Download PDF now (8 page(s) / 78 KB). More information on using PDF files. TABLE 1 "Red Flags" Suggesting a Serious Underlying Pathology Possibly Requiring Imaging The rightsholder did not grant rights to reproduce this item in electronic media. For the missing item, see the original print version of this publication. S pinal cord injuries are critical emergencies that must be recognized and treated early to increase the possibility of preventing permanent loss of function. The history and clinical presentation can provide the most important information in the assessment of a possible emergency. The physician must first look for "red flags"historical and clinical clues that may indicate the presence of a serious underlying disorder (Table 1) In determining the appropriate laboratory and imaging studies, the physician should follow the approach to low back pain given in an algorithm

62. Cervical Spondylotic Myelopathy: A Common Cause Of Spinal Cord Dysfunction In Ol cord ischemia. 2 Static mechanical factors result in the reductionof spinal canal diameter and spinal cord compression. With aging http://www.aafp.org/afp/20000901/1064.html

Advanced Search Cervical Spondylotic Myelopathy: A Common Cause of Spinal Cord Dysfunction in Older Persons WILLIAM F. YOUNG, M.D., Temple University Hospital, Philadelphia, Pennsylvania A patient information handout on cervical spondylotic myelopathy, written by the author of this article, is provided on page 1073. C ervical spondylotic myelopathy (CSM) is the most common spinal cord disorder in persons more than 55 years of age in North America and perhaps in the world. As the number of older persons in the United States increases, the incidence of CSM will most likely increase. In a prospective study designed to more accurately define the incidence of CSM, 23.6 percent of 585 patients with tetraparesis or paraparesis admitted to a United Kingdom regional neuroscience center had CSM. The overall prevalence in this population is unknown. Pathophysiology of CSM FIGURE 1. Axial computerized tomography scan showing ventral osteophytes pressing into the spinal canal. Spondylosis refers to the degenerative changes that occur in the spine, including degeneration of the joints, intervertebral discs, ligaments and connective tissue of the cervical vertebrae. There are three important pathophysiologic factors in the development of CSM: (1) static mechanical; (2) dynamic mechanical; and (3) spinal cord ischemia.

63. Neurological Disorders, Spinal Cord, Compression for restoring balance. CHORUS Notecard Document Signs, symptomsand diagnostic considerations of acute spinal cord compression,; http://www.iseekhealth.com/compression-2132.php

Home About Us Contact Submit Your Site Search : Home Health Conditions and Diseases Neurological Disorders ... Compression More Compression Categories: Submit Your Site to the Compression category Sponsored Compression Sites Epilepsy Book Store At WellnessBooks.com Comprehensive source to books on Epilepsy. Includes community boards and chat, book reviews and online ordering. Neurological Disorders Due To An Imbalance? Do you have a neurological disorder? This may be due to an imbalance. Check the balance of your system and get natural recommendations for restoring balance. CHORUS Notecard Document - Signs, symptoms and diagnostic considerations of acute spinal cord compression, OncoLink FAQs - A reader has a question about the causes and treatment of spinal cord compression. The Merck Manual - An article about spinal cord compression, its diagnosis and treatment. Submit Your Site to the Compression category Sponsored Results Health Spotlight List Your Site Here Today! Lab Tests Online @ YourLabTest.com Risk-free lab tests and screens on many common cancers and diseases. Why risk your health? Have your lab test results within 48 hours.

64. ASB: MECHANISMS IN SPINAL CORD INJURY Figure 1 Effect of Cord Compression on Motor Responses. Figure 2 65%spinal cord compression (Typical). REFERENCES. McNeice GM et al. http://asb-biomech.org/onlineabs/abstracts96/mcneice.html

AMERICAN SOCIETY OF BIOMECHANICS Presented at the 20th Annual Meeting of the American Society of Biomechanics Atlanta, Georgia. October 17-19, 1996 COMPONENT MECHANISMS IN SPINAL CORD INJURY - AN ANIMAL MODEL FOR DRUG TREATMENT PROTOCOLS - G.M. McNeice (1), W.A. Lee (1), K.C. Lennon (1), C.D. Riddle (1), R.L. Ferguson (1), M. LaBerge (2) (2) GHS/Clemson University Biomedical Cooperative, Greenville, S.C. 29605, USA INTRODUCTION Spinal cord injury models continue to be used to study the pathophysiology of injury and the potential of various therapeutic treatments. Recent NIH (Young et. al., 1995) supported studies have aimed at standardizing the impact trauma to the cord in the rat model. The present authors have discussed some potential errors inherent in the NYU proposed model (McNeice et. al., 1994, 1995) and introduced a refined rat model using a miniature accelerometer that allows the biomechanics of the impact to be established. The NYU model excludes the effect of cord compression on the neurologic deficit, a factor often seen in human injuries. The present study demonstrates the successful application of this refined model to drug therapy of the impacted cord as well as introduces an extension of the model to include the effects of cord compression. Compression levels of 65% and 85% are demonstrated. REVIEW AND THEORY MODEL AND PROCEDURES In this ongoing study the authors have established an animal model that will address the following component mechanisms of spinal cord injury:

65. Bowels Shutting Down With Spinal Cord Compression? the best hospitals in America. Subject Bowels Shutting Down Withspinal cord compression? Topic Area Neurology General Forum http://www.medhelp.org/forums/neuro/archive/10203.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Bowels Shutting Down With Spinal Cord Compression? Topic Area: Neurology - General Forum: The Neurology and Neurosurgery Forum Question Posted By: Anneliese Reitz on Sunday, October 18, 1998 Hi CCF, I am 33 yr-female with Arnold-Chiari Malformation type 1. I have not been decompressed yet. I would like to know if this condition could cause my gut to shut down? I haven't been able to move my bowels in 2 weeks. I have tried taking fiber suppliments, eating more fruits and vegatables, nothing seems to help. I am always asked if having loss of control, never loss of urge to go. Do you have any suggestions for me on how to treat this problem. I must admit I am a little embarrassed to approach my doctor about this problem. My abdomen is swollen and hard with developement of new stretch marks. I don't know if I have an obstruction if I use other remedy like enema would be harmful for me to use. Thank You, Sincerely Anneliese Reitz

66. Spinal Cord Compression Subject spinal cord compression Topic Area Neurosurgery General Forum The Neurologyand Neurosurgery Forum Question Posted By sisfoley on Sunday, March 24 http://www.medhelp.org/forums/neuro/messages/31701a.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Spinal Cord Compression Topic Area: Neurosurgery - General Forum: The Neurology and Neurosurgery Forum Question Posted By: sisfoley on Sunday, March 24, 2002 How serious is this condition and do you feel I should consider surgery at this point?. I am 53 and the physical therapist said my neck looked like a 80 year old. What generally happens if I would delay surgery? My neurosurgeon told me the surgery would help stop the progression of the cord compression, but he was not sure about the pain. I know I have written A lot. I trust my doctor, but I am scared to go forward or stay the same. Any advice would be appreciated. Answer Posted By: CCF-Neuro-M.D.-JT on Sunday, March 24, 2002 The Neurology Forum Neurology Forum Archives Med Help Home If you would like to make an appointment at the Cleveland Clinic, please call 1-800-CCF-CARE or inquire online by using the Neurology Dept.

67. Sao Paulo Medical Journal - spinal cord compression in bthalassemia follow-up after radiotherapy. ABSTRACT. Spinalcord compression. Intermediate b-thalassemia. INTRODUCTION. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000600009&l

68. The Cancer Council New South Wales :: Cancer Trials NSW - Spinal Title. A pilot randomised controlled trial of Dexamethasone 96mg versus 16mg perday for malignant spinal cord compression treated by radiotherapy (SUPERDEX). http://www.nswcc.org.au/editorial.asp?pageid=562

69. Trauma Case Study: Spinal Cord Compression Trauma Case Study spinal cord compression. Name.T. is a 34year-old woman who has been http://www2.hutchcc.edu/Dept/allied_health/Nursing4/Spinalstudy.htm

Trauma Case Study: Spinal Cord Compression Name: T. is a 34-year-old woman who has been thrown from a galloping horse in a remote area. She was flown to the trauma center by helicopter from a rural hospital with spinal cord compression due to spinal fracture and disk fragments in her lumbar spine. Her cervical spine is free from injury. She arrives strapped to a rigid backboard and begins to vomit. What would you do to keep T. from aspirating? What would you do to assess T.? You find that T. is hypotensive and bradycardic. She has an IV of 1000 mL LR with a large-bore catheter at 75 ml/h. What is causing the hypotension and bradycardia? The neurosurgeon arrives in the ED and examines T. He finds her areflexic below the lumbar region of the spinal cord. There is absence of sweating in the region, and no sensation below the level of the lesion. He writes the following orders: CT scan of the spine; myelogram; prepare for surgery; admit ti ICU; 10 mg dexamethasone (Decadron) IV now. Why did the physician order both a CT scan and a myelogram? Differentiate between the diagnostic value of each.

70. Trauma Case Study: Spinal Cord Compression Trauma Case Study spinal cord compression. Due February 27, 2003.Name. T. is a 34year http://www2.hutchcc.edu/Dept/allied_health/Nursing4/Trauma Case Study.htm

Trauma Case Study: Spinal Cord Compression Due February 27, 2003 Name: T. is a 34-year-old woman who has been thrown from a galloping horse in a remote area. She was flown to the trauma center by helicopter from a rural hospital with spinal cord compression due to spinal fracture and disk fragments in her lumbar spine. Her cervical spine is free from injury. She arrives strapped to a rigid backboard and begins to vomit. What would you do to keep T. from aspirating? What would you do to assess T.? You find that T. is hypotensive and bradycardic. She has an IV of 1000 mL LR with a large-bore catheter at 75 ml/h. What is causing the hypotension and bradycardia? The neurosurgeon arrives in the ED and examines T. He finds her areflexic below the lumbar region of the spinal cord. There is absence of sweating in the region, and no sensation below the level of the lesion. He writes the following orders: CT scan of the spine; myelogram; prepare for surgery; admit ti ICU; 10 mg dexamethasone (Decadron) IV now. Why did the physician order both a CT scan and a myelogram?

71. For Acute Spinal Cord Compression Due To Epidural Metastasis Extremely Weak Evid For acute spinal cord compression due to epidural metastasis extremely weak evidencesuggests that decompressive surgery was statistically different from http://www.uwo.ca/clinns/ebn/CATs/oncol-spinal-epidural-met-therapy.htm

For acute spinal cord compression due to epidural metastasis extremely weak evidence suggests that decompressive surgery was statistically different from radiotherapy alone with respect to maintained or regained ambulatory status. Clinical Problem: A 76 year-old woman with a metastatic lesion (primary breast cancer) invading the vertebral body of T11. She has back pain and has not been ambulatory for 12 hours. Clinical Question: Is surgery or radiotherapy more effective in restoring her ambulation and relieving her pain? What are the side effects of each treatment? Clinical bottom lines: 1. There was no difference in outcome between patients treated with surgery vs. radiation alone who were ambulatory at presentation [86% vs. 89% remained ambulatory], and only a trend towards improved status in the surgical group for patients paretic at presentation [63% vs. 53%], or paraplegic at presentation [24% vs. 10%]. 2. Surgical decompression may be indicated in certain specific situations such as spinal instability and bony spinal cord compression. (Class III - expert opinion) 3. Surgical mortality ranged between 0% - 12.5%, and morbidity between 0% - 54% across various studies.

72. Spinal Cord Compression spinal cord compression An experimental study in the rat. Chow SP, FurumachiK, Bruce I 1 , Ip WY. 1 Department of Physiology, The University of Hong Kong. http://www.hku.hk/ortho/ortho/abstract/abstract1999/abstract99/abst401.htm

73. Blackwell Synergy - Cookie Absent correspondence. spinal cord compression in monoclonal gammopathy of undeterminedsignificance. spinal cord compression. serum monoclonal protein. Affiliations. http://www.blackwell-synergy.com/links/doi/10.1111/j.1365-2141.2004.04812.x/full

Home An Error Occurred Setting Your User Cookie A cookie is a small amount of information that a web site copies onto your hard drive. Synergy uses cookies to improve performance by remembering that you are logged in when you go from page to page. If the cookie cannot be set correctly, then Synergy cannot determine whether you are logged in and a new session will be created for each page you visit. This slows the system down. Therefore, you must accept the Synergy cookie to use the system. What Gets Stored in a Cookie? Synergy only stores a session ID in the cookie, no other information is captured. In general, only the information that you provide, or the choices you make while visiting a web site, can be stored in a cookie. For example, the site cannot determine your email name unless you choose to type it. Allowing a web site to create a cookie does not give that or any other site access to the rest of your computer, and only the site that created the cookie can read it. Please read our for more information about data collected on this site.

74. Blackwell Synergy - Cookie Absent Cervical osteochondroma as a cause of spinal cord compression in a patient withhereditary multiple exostoses Computed tomography and magnetic resonance http://www.blackwell-synergy.com/links/doi/10.1046/j.1440-1673.2002.01067.x/abs/

Home An Error Occurred Setting Your User Cookie A cookie is a small amount of information that a web site copies onto your hard drive. Synergy uses cookies to improve performance by remembering that you are logged in when you go from page to page. If the cookie cannot be set correctly, then Synergy cannot determine whether you are logged in and a new session will be created for each page you visit. This slows the system down. Therefore, you must accept the Synergy cookie to use the system. What Gets Stored in a Cookie? Synergy only stores a session ID in the cookie, no other information is captured. In general, only the information that you provide, or the choices you make while visiting a web site, can be stored in a cookie. For example, the site cannot determine your email name unless you choose to type it. Allowing a web site to create a cookie does not give that or any other site access to the rest of your computer, and only the site that created the cookie can read it. Please read our for more information about data collected on this site.

75. Entrez PubMed Comment in Australas Radiol. 1997 May;41(2)912. The efficacy of treatmentfor malignant epidural spinal cord compression. Milross http://www.biomedcentral.com/pubmed/9153809

Entrez PubMed Nucleotide Protein ... Books Search PubMed Protein Nucleotide Structure Genome Books CancerChromosomes 3D Domains Domains Gene GEO GEO DataSets HomoloGene Journals MeSH NCBI Web Site OMIM PMC PopSet SNP Taxonomy UniGene UniSTS for Limits Preview/Index History Clipboard ... Text Version Entrez PubMed Overview FAQ Tutorial New/Noteworthy ... E-Utilities PubMed Services Journals Database MeSH Database Single Citation Matcher Batch Citation Matcher ... Cubby Related Resources Order Documents NLM Gateway TOXNET Consumer Health ... PubMed Central Summary Brief Abstract Citation ASN.1 MEDLINE XML UI List LinkOut Related Articles Cited in Books CancerChrom Links Domain Links 3D Domain Links GEO DataSet Links Gene Links Genome Links GEO Links HomoloGene Links Nucleotide Links OMIM Links PMC Links Cited in PMC PopSet Links Protein Links SNP Links Structure Links UniSTS Links Show: Sort Author Journal Pub Date Text File Clipboard E-mail Order Australas Radiol. 1997 May;41(2):137-42. Related Articles, Links Comment in: Australas Radiol. 1997 May;41(2):91-2. The efficacy of treatment for malignant epidural spinal cord compression. Milross CG, Davies MA, Fisher R, Mameghan J, Mameghan H.

76. Entrez PubMed Click here to read spinal cord compression by primary amyloidoma of the spine.Nas K, Arslan A, Ceviz A, Bilici A, Gur A, Kemaloglu MS, Cevik R, Sarac AJ. http://www.biomedcentral.com/pubmed/12402386

Entrez PubMed Nucleotide Protein ... Books Search PubMed Protein Nucleotide Structure Genome Books CancerChromosomes 3D Domains Domains Gene GEO GEO DataSets HomoloGene Journals MeSH NCBI Web Site OMIM PMC PopSet SNP Taxonomy UniGene UniSTS for Limits Preview/Index History Clipboard ... Text Version Entrez PubMed Overview FAQ Tutorial New/Noteworthy ... E-Utilities PubMed Services Journals Database MeSH Database Single Citation Matcher Batch Citation Matcher ... Cubby Related Resources Order Documents NLM Gateway TOXNET Consumer Health ... PubMed Central Summary Brief Abstract Citation ASN.1 MEDLINE XML UI List LinkOut Related Articles Cited in Books CancerChrom Links Domain Links 3D Domain Links GEO DataSet Links Gene Links Genome Links GEO Links HomoloGene Links Nucleotide Links OMIM Links PMC Links Cited in PMC PopSet Links Protein Links SNP Links Structure Links UniSTS Links Show: Sort Author Journal Pub Date Text File Clipboard E-mail Order Yonsei Med J. 2002 Oct;43(5):681-5. Related Articles, Links Spinal cord compression by primary amyloidoma of the spine. Nas K, Arslan A, Ceviz A, Bilici A, Gur A, Kemaloglu MS, Cevik R, Sarac AJ. Department of Physical Therapy and Rehabilitation, University of Dicle, Diyarbakir, Turkey. knas@dicle.edu.tr

77. Mild Brain Injury And/or Spinal Cord Compression Subluxation spinal cord compression subluxations usually occur in a vehicle accident,when the head strikes the windshield, dashboard http://www.chiroweb.com/archives/17/21/08.html

Dynamic Chiropractic October 4, 1999, Volume 17, Issue 21 Printer Friendly Version Email to a Friend Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Mild Brain Injury and/or Spinal Cord Compression Subluxation Spinal cord compression subluxations usually occur in a vehicle accident, when the head strikes the windshield, dashboard, steering wheel, headrest, door frame or window, and/or the head is struck by the explosion of the air bag. The spinal cord is thickest in the upper cervical region where it completely fills the spinal canal. The spinal cord is insensitive to pain and is often overlooked. If injured, it may become swollen, creating symptoms indistinguishable from mild brain injury. Spinal Cord Compression Subluxation from Mild Brain Injury Spinal cord compression subluxation will most often occur in the upper cervical region, which is freely movable, and the slightest displacement can result in impingement. For example, the skull articulates on the condyles of the occiput with the upper surfaces of the lateral masses of the atlas vertebra. In a whiplash-type injury, the head often is snapped backward toward the impact. Just as the condyles reach the limits of its articulation with the atlas, the head strikes the headrest, causing a pincher-type movement between the foramen magnum and the lateral masses compressing the spinal cord. The force of the impact of this injury may cause an occipitoatlantoaxial subluxation which may put mechanical pressure on the spinal cord. This traumatic joint lock may cause residual symptoms, creating confusion between a spinal cord compression subluxation and/or mild brain injury.

78. Thoracolumbar Spinal Cord Compression Due To Vertebral Process Degenerative Join 17, No. 4, pp. 530–537. Thoracolumbar spinal cord compression Due to VertebralProcess Degenerative Joint Disease in a Family of Shiloh Shepherd Dogs. http://apt.allenpress.com/aptonline/?request=get-abstract&issn=0891-6640&volume=

79. Cord Compression Due To T3 Fracture From Metastasis Ratanatharathorn V; Powers WE. Epidural spinal cord compression from metastatictumor diagnosis and guidelines for management. REVIEW ARTICLE 33 REFS. http://www.flash.net/~drrad/tf/050597.htm

A 48 y/o male was referred for MRI of his Thoracic and Lumbar spine as part of his disability workup for unrelenting, debilitating back pain. At the time of the MRI, the patient related a Hx of recent onset of difficulty rising from a sitting to standing position and dysesthesia of his lower body for approximately 2-3 days. Physical examination revealed hyperreflexia in the lower extremities. Selected saggital images from the Thoracic and Lumbar MRI scans demonstrate a compression fracture of T3 with cord compression and diffusely abnormal marrow signal. The diffusely abnormal marrow shows patchy, confluent areas of signal abnormality low to intermediate on T1 with slight T2 brightening. The diagnosis of metastatic disease was suspected and confirmed during emergent spinal decompression surgery following this MRI. Cell morphology and marker studies were consistent with small cell carcinoma. It is interesting to compare the appearance of this MRI with last week's case of Multiple Myeloma and the previous case of . For those looking for a vertebral lymphoma stay tuned to this URL one's bound to show up here, as may TB or coccidioidomycosis. When you visit here you're in sunny southern California!

80. Malignant Epidural Spinal Cord Compression Journal Review. Malignant epidural spinal cord compression. Author(s). ShawP and Marks A. Publication. European Journal of Palliative Care. Reference.Vol. http://www.lrf.org.uk/en/1/infnurjounurmal.html

Nursing Leukaemia Journal Reviews Nursing practice Fungal infections... ... Environment for dying... Spinal neurological function... SHOT... The transfusion practitioner... Haematological cancers (NICE) Infusion therapy (RCN) ... Send to friend Journal Review Malignant epidural spinal cord compression Author(s) Shaw P and Marks A Publication European Journal of Palliative Care Reference Vol. 19 (5) page 142-143 Publication Date October 2003 Relevant to nurses in haematology as the paper discusses the symptoms, diagnosis and treatment options. Although the paper is not specifically focused on haematology patients the issues remain the same, as haematology nurses we are all familiar with the problems of mobility, pain control and continence. Within the paper the challenge of treatment options is discussed although no clear guidance is given the authors discuss the three main options - steroids, radiotherapy, surgery and on occasions chemotherapy. Recognition and early treatment remain the best options for preserving neurological function and controlling pain. A section of the paper looks at the best treatment options for the different stages of spinal destruction/compression.

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