Cervical myelopathy: symptoms, causes, examination, treatment

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2018-03-26 14:45:22

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Spinal cord – an important part of the body. It acts as a conduit, transmitting signals to all body parts from head and Central nervous system. This fruitful cooperation allows for movement of limbs, ensures the normal functioning of the gastrointestinal tract, genitourinary system, and other. Any damage of this Department is fraught with terrible consequences, and can in an instant to put a person in a wheelchair.

What kind of disease

Myelopathy – is a generic term of all the States, one way or another affect the activity of the spinal cord.

The main factors causing the disease include:

  • Mechanical damage;
  • Various diseases.

Depending on the reasons that caused the disease, the term is added corresponding to the prefix.

Cervical myelopathy

For Example, cervical myelopathy suggests that the localization of the pathological process observed in the cervical spine.

Causes

The disease no one is immune. She appears suddenly and brings the person into confusion.

The most common reasons causing the damage to the spinal cord, include:

  • Injury due to falls, accidents, impacts;
  • Postoperative complications;
  • Herniation, protrusion, swelling;
  • Scoliosis;
  • Degenerative disc disease;
  • Spondylosis;
  • Spondylosis;
  • Fractures and dislocations of the vertebrae;
  • Damage to the edges;
  • All kinds of infections;
  • Autoimmune pathology;
  • Systemic inflammatory disease;
  • Circulatory disorders;
  • Thrombosis of the spinal vessels;
  • Atherosclerosis,
  • Osteomyelitis;
  • Tuberculosis of bones;
  • Hematomyelia;
  • Demyelination.

Not the last role in the pathology is played by hereditary diseases associated with accumulation of phytanic acid (adult refsum disease) and the presence motorsensory disorders (syndrome of Roussy - levy).

Cervical myelopathy syndrome bass

For various spinal disorders has damage to the nerve cells of the spinal cord, this pathology is called "the syndrome of amyotrophic lateral sclerosis" (ALS).

Common signs

Symptoms of cervical myelopathy may occur gradually or in a moment. The last is most typical for the mechanical impact on the spine, such as stroke, fracture, displacement.

A Sick person can feel:

  1. Intense pain of different localization.
  2. Reduction or complete loss of sensation below the lesion.
  3. Numbness and tingling of the fingers, hands and feet.
  4. Paralysis of the extremities or whole body.
  5. Disruption of the digestive system and urogenital system.
  6. Weakness of certain muscles.

Can Also be the symptoms of vertebrogenic cervical myelopathy.

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  1. Problems with coordination of movements.
  2. Marble complexion.
  3. Excessive sweating.
  4. Abnormal heart rhythm.
  5. Excessive emotionality, obsessions.
  6. The Fear of imminent death and so on.

The Bright start that accompanies the disease is not always. In some cases, complaints may be minor and to progress for a long time.

Such patients rarely visit a medical facility in the initial stages, writing off unwell fatigue other reason.

The Further course of disease depends on many factors, but the sooner it is detected, the more one receives a chance to return to a healthy and fulfilling life.

Classification

The Following types of diseases occur on the background of direct influence on the spinal cord. This:

  1. Toxic and radiation. Are extremely rare. Can occur as a result of previous irradiation in cancer or when poisoning with mercury, lead, arsenic and other dangerous compounds. Spinal cord lesion progresses slowly. The first symptoms often associated with previous episodes of Oncology, namely, the appearance of metastasis.
  2. Carcinomatosa. Represents a paraneoplastic Central nervous system arising in the background of various malignant processes. It could be cancer of the lung, liver, blood, etc.
  3. Infectious. It occurs quite hard and can be caused by enteroviruses, Lyme disease, AIDS, syphilis, etc.
  4. Metabolic. The cases identified are diagnosed infrequently. It is caused by various metabolic disorders and prolonged hormonal disruption.
  5. Demyelinating. The result is destruction of neurons of the CNS. Can be transmitted genetically or occur in the course of life.

Myelopathy of the cervical symptoms

These lesions are much rarer than the compression.

Defeat of the cervical

Refers to the most common forms. Arises in the first 7 vertebrae.

Can be caused by any of the listed reasons, but most often occurs due to compression, i.e. the pressure on the spinal cord.

It may be a hernia, tumors and other factors that have a mechanical effect on this important segment of the spine.

Often provoke the pathology of such diseases:

  • Degenerative disc disease;
  • Scoliosis, etc.

Congenital or acquired defects of large vessels can disrupt the functioning of the spinal cordbrain, causing its inflammation.

Patients with cervical myelopathy are the most pronounced and severe complaints.

They numbness can begin with the shoulders and spread to the whole body. Always have a violation of the vestibular apparatus, causes:

  • Dizziness, especially when turning the head or lifting up;
  • Disorientation;
  • The emergence of “flies” before the eyes;
  • Panic attacks and the like.

Cervical ischemic myelopathy

Often the symptoms of myelopathy of the cervical confused with VSD. After unsuccessful treatment is carried out more detailed research to determine the real cause.

Breast pathology

This localization is not less dangerous, but in most cases, its clinical manifestations are less pronounced.

Unlike cervical myelopathy, the patient may be disturbed:

  • Feeling of compression in the ribs and heart;
  • Heavy on the breath;
  • The pain of different intensity;
  • The weakness and tremors in the hands;
  • Increasing discomfort when bending and doing physical exercise.

Most Often it develops on the background of circulatory disorders, but other causes should not be excluded.

Symptoms of breast form is very similar to osteochondrosis this Department, although it is a rare pathology of the spine.

During diagnosis it is important to differentiate it from diseases of the heart and respiratory system.

Lumbar localization

If the patient caught this disease, problems are observed in the lower part of the body. Under the influence of precipitating factors suffer:

  • Legs (paralysis, numbness, tingling, etc.);
  • Pelvic organs (there are various diseases associated with the disruption of their work).

That is above the lumbar disease most often affects. The exceptions are mixed, when the entire damaged spinal cord.

When compression is rare, most often it is the systemic effect on the spinal cord or the whole body (radiation, poisons, infection, etc).

Symptoms of cervical myelopathy are observed partially.

Diagnostic Methods

In the absence of characteristic symptoms of a cervical myelopathy, like other varieties, is not easy to identify.

Sensing that the body is something that patients bring to the physician, prosthetist and other professionals who can not establish the cause of the deterioration of health or even misdiagnose.

The diagnosis and Treatment of the disease does neurologist. First he gathers a detailed medical history, i.e. medical records. The patient will need the details to report:

  1. How long have you been complaint.
  2. If he or close relatives with chronic diseases.
  3. What kind of lifestyle he leads (is there bad habits, etc.).
  4. Whether he informed to radiation and contact with toxic substances, etc.

Based On these data, a specialist can suggest the presence of cervical myelopathy that would be required to confirm by means of tests.

Cervical myelopathy

Will be required to pass a General and biochemical blood analysis. If you suspect infection may be appointed to check its sterility.

In Parallel, it is necessary to make a diagnosis, including:

  • X-rays;
  • Electromyography;
  • Together;
  • MRI, CT of the vertebral column;
  • Angiography of the spinal cord and puncture.

The resulting material will be sent to the laboratory for bacterial culture and identification of other infections by PCR.

After an accurate diagnosis and identifying precipitating factors will be assigned the necessary treatment that the neurologist will be shared with other professionals. Depending on the reasons for this may be:

  • Doctor;
  • Oncologist;
  • Spine;
  • The osteopath and others.

All about the diagnosis of cervical myelopathy can only tell the doctor.

Drug therapy

A Single treatment regimen does not exist. The scheme is made individually and depends on many factors, namely:

  • The causes of the disease;
  • Severity;
  • Age and sex of the patient;
  • Comorbidities, and other.

For the treatment of cervical ischemic myelopathy following groups of drugs:

  • Vasodilator;
  • Skin.

For such attribute:

  1. "Nospanum".
  2. "Drotaverine".
  3. "Vinpocetine".
  4. "Ksantinola nikotinat".

The toxic lesions of prescribers, allowing you to rid the body of harmful substances. In infective antiviral, antifungal and antibacterial agents. Such patients should understand that treatment will be lengthy and not always successful.

The presence of genetic abnormalities to eliminate the disease with medication is not possible. In this case chosen is a lifelong treatment regimen, eliminating or softening the clinical manifestations.

Surgery

Surgery is resorted to, if the myelopathy of the cervical provoked mechanical factors, such as:

  • Tumors
  • Cysts;
  • Hernia;
  • Displacement of the vertebrae, etc.

As practice shows, when removal of benign tumors from the patient many chances to overcome the disease. Therapy for cervical myelopathy inOncology is much more complex. As a rule, to give any forecasts doctors are not taken.

Symptoms of vertebrogenic cervical myelopathy

For injuries, the result may be different. It all depends on the extent of damage and localization.

Support activities

Treatment of cervical myelopathy – half way. After elimination of the underlying disease the patient is waiting for long period of rehabilitation. It may include:

  • All kinds of massages;
  • Therapeutic exercises;
  • Acupuncture;
  • Physiotherapy treatments;
  • Electrophoresis
  • Wearing a retainer corsets;
  • Attendance at specialized health centers.

It is Strictly forbidden to engage in self-treatment symptoms and causes cervical myelopathy. Such levity with serious bone marrow failure and irreversible paralysis.

Prevention

Most Often disease occurs in adulthood, but often is diagnosed among young people and even kids.

Cervical myelopathy syndrome BASS occurs in most patients. In order to reduce the probability of its occurrence, you should follow a few simple guidelines:

  • Every morning start with a short warm-up;
  • If the work involves the long-term presence in a sitting position, periodically get up and do a variety of exercises, you can just walk around;
  • Don't slouch;
  • To include in the diet of meat with cartilage and dairy products;
  • Get rid of bad habits;
  • To abandon the heavy and poor quality food;
  • Eat more fruit and vegetables;
  • Periodically to drink a course of vitamins and mineral substances;
  • The presence of chronic diseases timely medical treatment;
  • Discuss with your doctor the possibility of using drugs, protecting and regenerating the cartilage (chondro).

cervical Myelopathy

Hearing the diagnosis of "cervical myelopathy", we should not immediately fall into despair and to think about the cancer. In most cases, the pathology is benign nature. You should tune positively and believe in their own recovery, because medicine is proven that the effectiveness of therapy is closely linked with the mood of the patient, even if the prognosis is very unfavorable.


Article in other languages:

AR: https://tostpost.com/ar/health/3835-cervical-myelopathy-symptoms-causes-examination-treatment.html

BE: https://tostpost.com/be/zdaro-e/6786-cerv-kal-noy-m-yalapac-ya-s-mptomy-prychyny-absledavanne-lyachenne.html

DE: https://tostpost.com/de/gesundheit/6786-zervikale-myelopathie-symptome-ursachen-untersuchung-behandlung.html

ES: https://tostpost.com/es/la-salud/6792-neoplasia-mielopatiya-s-ntomas-causas-ex-menes-m-dicos-tratamiento.html

HI: https://tostpost.com/hi/health/3838-myelopathy.html

JA: https://tostpost.com/ja/health/3836-cervical-myelopathy-symptoms-causes-examination-treatment.html

KK: https://tostpost.com/kk/densauly/6789-cervikal-naya-mielopatiya-belg-ler-sebepter-tekseru-emdeu.html

PL: https://tostpost.com/pl/zdrowie/6789-karkowa-mielopatiya-objawy-przyczyny-badania-leczenie.html

PT: https://tostpost.com/pt/sa-de/6785-cervical-mielopatiya-sintomas-causas-exames-tratamentos.html

TR: https://tostpost.com/tr/sa-l-k/6793-cervikal-naya-miyelopati-belirtileri-nedenleri-tetkik-tedavi.html

UK: https://tostpost.com/uk/zdorov-ya/6791-cerv-kal-na-m-lopat-ya-simptomi-prichini-obstezhennya-l-kuvannya.html

ZH: https://tostpost.com/zh/health/4125-cervical-myelopathy-symptoms-causes-examination-treatment.html






Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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