Spinal cord trauma - Revision history

Rossdonaldson1: Redirected page to Spinal cord injury

2020-02-22T13:59:52Z

← Revisión anterior		Revisión del 13:59 22 feb 2020
Línea 1:		Línea 1:
	~~==Background==~~		#REDIRECT[[Spinal cord injury]]
	*Penetrating injury
	**GSW
	***Most are stable injuries and only require supportive orthosis, [[analgesia]]
	***Give [[antibiotics]] if GSW traversed the abdomen before injuring the cord
	***Bullet removal does not improve neuro status for stable cervical and thoracic lesions
	***Bullet removal may improve neuro status for thoracolumbar region injury (T11-L2)
	**Stabbing
	***Vertebral instability is generally not an issue
	***Delayed deficits are rare
	****If do occur related to retained fragment of blade within spinal canal

	~~===Peds===~~
	*In patients <10yr spinal injury occurs mainly in upper cervical vertebrae
	*In patients >10yr majority of injuries occur in lower cervical spine, similar to adults
	*Odontoid fractures are among most common cervical spine injuries in children
	**Do not confuse with normal anatomic variations in odontoid seen in children up to 7yr old
	*SCIWORA
	**Spinal cord injury without radiologic abnormality
	**MRI has shown significant pathology in many of these patients
	**Symptoms
	***Delayed onset (within 48hr) of [[numbness]], [[paresthesias]] in extremities
	*Transient quadriparesis ("stinger")
	**Occurs most often in boys after sports injuries
	**Paresthesias or [[weakness]] of extremities lasting from seconds to minutes
	***Complete recovery within 48hr

	~~==Evaluation==~~
	*Clinical (see [[spinal cord syndromes]])
	*X-ray
	**See [[C-spine (NEXUS)]] and [[~~C-Spine X-Ray]]~~
	*Consider:
	**CT
	**MRI

	~~==Differential Diagnosis==~~
	~~{{Blunt neck trauma DDX}}~~

	{{Spinal ~~cord syndromes DDX}}~~

	~~==Management==~~
	~~{{Acute spinal~~ cord injury ~~treatment}}~~

	~~==See Also==~~
	*[[Penetrating neck trauma]]
	*[[Blunt neck trauma]]
	*[[Neurogenic Shock]]
	*[[Spinal Shock]]
	*[[Autonomic Dysreflexia]]
	*[[Thoracic and Lumbar Spine Injuries]]
	*[[Cervical Spine Injuries]]
	*[[Vertebral fractures]]

	~~==References==~~
	~~<references/>~~

	~~[[Category:Neurology]]~~
	~~[[Category:Trauma~~]]

ClaireLewis: /* Background */

2019-09-24T04:07:41Z

Background

← Revisión anterior		Revisión del 04:07 24 sep 2019
Línea 2:		Línea 2:
	*Penetrating injury		*Penetrating injury
	**GSW		**GSW
	***Most are stable injuries and only require supportive orthosis, analgesia		***Most are stable injuries and only require supportive orthosis, [[analgesia]]
	***Give antibiotics if GSW traversed the abdomen before injuring the cord		***Give [[antibiotics]] if GSW traversed the abdomen before injuring the cord
	***Bullet removal does not improve neuro status for stable cervical and thoracic lesions		***Bullet removal does not improve neuro status for stable cervical and thoracic lesions
	***Bullet removal may improve neuro status for thoracolumbar region injury (T11-L2)		***Bullet removal may improve neuro status for thoracolumbar region injury (T11-L2)
Línea 20:		Línea 20:
	**MRI has shown significant pathology in many of these patients		**MRI has shown significant pathology in many of these patients
	**Symptoms		**Symptoms
	***Delayed onset (within 48hr) of numbness, paresthesias in extremities		***Delayed onset (within 48hr) of [[numbness]], [[paresthesias]] in extremities
	*Transient quadriparesis ("stinger")		*Transient quadriparesis ("stinger")
	**Occurs most often in boys after sports injuries		**Occurs most often in boys after sports injuries
	**Paresthesias or weakness of extremities lasting from seconds to minutes		**Paresthesias or [[weakness]] of extremities lasting from seconds to minutes
	***Complete recovery within 48hr		***Complete recovery within 48hr

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-25T18:26:05Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 18:26 25 jul 2016
Línea 26:		Línea 26:
	***Complete recovery within 48hr		***Complete recovery within 48hr

	==~~Diagnosis~~==		==Evaluation==
	*Clinical (see [[spinal cord syndromes]])		*Clinical (see [[spinal cord syndromes]])
	*X-ray		*X-ray

ClaireLewis: /* Peds */

2016-07-14T01:36:02Z

Peds

← Revisión anterior		Revisión del 01:36 14 jul 2016
Línea 20:		Línea 20:
	**MRI has shown significant pathology in many of these patients		**MRI has shown significant pathology in many of these patients
	**Symptoms		**Symptoms
	***Delayed onset (~~w/in~~ 48hr) of numbness, paresthesias in extremities		***Delayed onset (within 48hr) of numbness, paresthesias in extremities
	*Transient quadriparesis ("stinger")		*Transient quadriparesis ("stinger")
	**Occurs most often in boys after sports injuries		**Occurs most often in boys after sports injuries
	**Paresthesias or weakness of extremities lasting from seconds to minutes		**Paresthesias or weakness of extremities lasting from seconds to minutes
	***Complete recovery ~~w/in~~ 48hr		***Complete recovery within 48hr

	==Diagnosis==		==Diagnosis==

ClaireLewis: /* Background */

2016-07-14T01:11:31Z

Background

← Revisión anterior		Revisión del 01:11 14 jul 2016
Línea 3:		Línea 3:
	**GSW		**GSW
	***Most are stable injuries and only require supportive orthosis, analgesia		***Most are stable injuries and only require supportive orthosis, analgesia
	***Give ~~Abx~~ if GSW traversed the abdomen before injuring the cord		***Give antibiotics if GSW traversed the abdomen before injuring the cord
	***Bullet removal does not improve neuro status for stable cervical and thoracic lesions		***Bullet removal does not improve neuro status for stable cervical and thoracic lesions
	***Bullet removal may improve neuro status for thoracolumbar region injury (T11-L2)		***Bullet removal may improve neuro status for thoracolumbar region injury (T11-L2)

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-12T03:26:15Z

Text replacement - " w/ " to " with "

← Revisión anterior		Revisión del 03:26 12 jul 2016
Línea 15:		Línea 15:
	*In patients >10yr majority of injuries occur in lower cervical spine, similar to adults		*In patients >10yr majority of injuries occur in lower cervical spine, similar to adults
	*Odontoid fractures are among most common cervical spine injuries in children		*Odontoid fractures are among most common cervical spine injuries in children
	**Do not confuse w/ normal anatomic variations in odontoid seen in children up to 7yr old		**Do not confuse with normal anatomic variations in odontoid seen in children up to 7yr old
	*SCIWORA		*SCIWORA
	**Spinal cord injury without radiologic abnormality		**Spinal cord injury without radiologic abnormality

Neil.m.young: Text replacement - "==Source== " to "==References== "

2016-06-25T17:12:00Z

Text replacement - "==Source== <references/>" to "==References== <references/>"

← Revisión anterior		Revisión del 17:12 25 jun 2016
Línea 52:		Línea 52:
	*[[Vertebral fractures]]		*[[Vertebral fractures]]

	==~~Source~~==		==References==
	<references/>		<references/>

	[[Category:Neurology]]		[[Category:Neurology]]
	[[Category:Trauma]]		[[Category:Trauma]]

Ostermayer: Text replacement - " pts" to " patients"

2016-06-21T16:50:38Z

Text replacement - " pts" to " patients"

← Revisión anterior		Revisión del 16:50 21 jun 2016
Línea 12:		Línea 12:

	===Peds===		===Peds===
	*In ~~pts~~ <10yr spinal injury occurs mainly in upper cervical vertebrae		*In patients <10yr spinal injury occurs mainly in upper cervical vertebrae
	*In ~~pts~~ >10yr majority of injuries occur in lower cervical spine, similar to adults		*In patients >10yr majority of injuries occur in lower cervical spine, similar to adults
	*Odontoid fractures are among most common cervical spine injuries in children		*Odontoid fractures are among most common cervical spine injuries in children
	**Do not confuse w/ normal anatomic variations in odontoid seen in children up to 7yr old		**Do not confuse w/ normal anatomic variations in odontoid seen in children up to 7yr old
	*SCIWORA		*SCIWORA
	**Spinal cord injury without radiologic abnormality		**Spinal cord injury without radiologic abnormality
	**MRI has shown significant pathology in many of these ~~pts~~		**MRI has shown significant pathology in many of these patients
	**Symptoms		**Symptoms
	***Delayed onset (w/in 48hr) of numbness, paresthesias in extremities		***Delayed onset (w/in 48hr) of numbness, paresthesias in extremities

Ostermayer: Text replacement - "Category:Neuro" to "Category:Neurology"

2016-03-22T14:14:56Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Revisión anterior		Revisión del 14:14 22 mar 2016
Línea 55:		Línea 55:
	<references/>		<references/>

	[[Category:~~Neuro~~]]		[[Category:Neurology]]
	[[Category:Trauma]]		[[Category:Trauma]]

Rossdonaldson1: /* Source */

2015-03-24T14:55:06Z

Source

← Revisión anterior		Revisión del 14:55 24 mar 2015
Línea 53:		Línea 53:

	==Source==		==Source==
	*Tintinalli's		<references/>

	~~<references/>~~
	[[Category:Neuro]]		[[Category:Neuro]]
	[[Category:Trauma]]		[[Category:Trauma]]