Neurogenic Bowel
[…] (fecal constipation, fecal impaction) or failure to contain stool (fecal incontinence). Etiology NB can be seen in multiple conditions, including spinal cord injury (SCI), brain injury, stroke, spina bifida, Parkinson’s disease (PD), amyotrophic lateral sclerosis, multiple sclerosis (MS), peripheral nerve injuries and […]
Acromioclavicular Joint Disorders
[…] require repetitive overhead lifting have a higher prevalence of AC joint arthritis.13 It is also more common in patients with spinal cord injury, with a prevalence of 50-71%.14 Social role and social support system Impairment in ADLs are common with AC joint […]
Upper Extremity Proximal Mononeuropathies
[…] compromised can lead to the shoulder girdle and upper extremity pain, weakness, and loss of function. These nerves include the Spinal accessory, long thoracic, upper/lower subscapular nerves axillary, suprascapular, and musculocutaneous, nerves. Etiology All are vulnerable to injury from blunt […]
Lumbar Radiculopathy
Disease/ Disorder Definition Lumbar radiculopathy refers to any pathologic condition affecting the lumbar nerve roots. In practical terms, radiculopathy is spinal nerve-related symptoms such as pain, with variable presence of paresthesias, weakness, reflex changes, and secondary interference of normal activities. […]
Syringomyelia
[…] malformations; however, idiopathic and rare familial cases are described2. Acquired syringomyelia, also known as primary spinal syringomyelia, can be secondary to spinal cord injury, arachnoiditis, inflammatory or infectious conditions, or neoplasms. Other terms used to describe syringomyelia include communicating or non-communicating syringomyelia. Communicating […]
Knee Neuropathies
[…] of freeze-killed nerve grafts. Neuropathology and Applied Neurobiology, 16(5), 411-421. Chu, T., & Wu, W. (2009). Neurotrophic factor treatment after spinal root avulsion injury. Cent Nerv Syst Agents Med Chem, 9(1), 40-55. Thanos, P., Okajima, S., Tiangco, D., & Terzis, […]
Cervical Radiculopathy
[…] in relieving chronic intractable pain of cervical origin.23 The potential risks associated with this route of injection include epidural hematoma, spinal cord injury, dural puncture, and headache. Stojanovic et al. evaluated 38 epidurograms of interlaminar epidural steroid injection and noted that the […]
Pediatric Neuromuscular Scoliosis
[…] Neurologic exam should include assessment of muscle tone, reflexes, balance, gait, walking capacity, motor strength, and sensory exam (especially in spinal cord injury patients). Musculoskeletal exam should include joint range of motion (paying careful attention to the hip and pelvic positioning), shoulder […]
Intrathecal Pump Management
[…] as first-line intrathecal therapies for chronic intractable pain (benign or malignant). Baclofen is indicated for chronic spasticity of spinal (traumatic spinal cord injury and multiple sclerosis) or cerebral (acquired brain injury, cerebral palsy and stroke) origin. For spasticity of spinal origin, each […]
Physical Abuse (Non-Accidental Trauma)
[…] should also undergo a cervical spine MRI due to the higher detection rates of spinal cord damage compared to CT.8 Spinal cord injury without radiographic abnormality (SCIWORA) is often found with abusive head injuries and should be suspected in children with symptoms […]