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Case study of spinal cord injury
Spinal cord injury nbcot
Case study of spinal cord injury
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What happens when the spinal cord is injured? Spinal cord injury is normally a sudden and unexpected blow to the spine that cause fractures, compression or dislocation of the vertebrae. The initial injury terms spinal shock is the immediate and primary blow to the spinal cord. Upon the impact of injury to the spinal cord, nerve signaling stops an there is a disruption of signal transfer that may become absent for a while even when there is no visible damage to the cord. When the injury is so that the nerves are cut or severed, and are unable to be repaired, impulse transfer of these nerves are destroyed permanently. A fractures or severance can cause blood vessels to be ruptured and blood to leak into tissues in and around the spinal cord causing pressure by blood clots on the cord. The swelling inside of the spinal cord spread within seconds to minutes, thus pressure is exerted to spinal cord and nerves and blood flow to spinal tissues are compromised or decreased. As circulation is disrupted, blood pressure is decreased and the basic self-regulatory mechanism of the body is disrupted. The changes that takes place due to the initial injury is termed spinal shock and can last for a short or a long time. The use of the term spinal shock has caused controversy with neurologist, relating to mechanism and duration of
During this process the body itself gets rid of the injury and unhealthy cells (apoptosis). The process of apoptosis destroys nerves in the ascending and descending pathways and causes axons to become dysfunctional and preventing messages from being relayed to the brain. Another major issue and problem with spinal cord injury is scarring. After the initial injury, astrocytes-glial cells that support the brain and spinal cord-separate the injury area from normal tissue. This result in the formation of scar tissues preventing reconnection and regeneration of axons and information to the
warm) in the left upper and lower extremities; decreased strength and movement of the right upper and lower extremities and of the left abdominal muscles; lack of triceps and biceps reflexes in the right upper extremity; atypical response of patellar, Achilles (hyper) reflexes in the right lower extremity; abnormal cremasteric reflex in the right groin; fracture in cervical vertebrae #7; and significant swelling in the C7-T12 region of the spinal canal (Signs and symptoms, n.d.). The objective complaint of a severe headache could also be consistent with a spinal cord injury (Headache, nausea, and vomiting,
Valani, R., Mikrogianakis, A., & Goldman, R. (2004). Cardiac concussion (commotio cordis). Canadian Journal of Emergency Medicine, 2004(6), 428-430.
Peripheral and central mechanisms involving nerve lesions and their input are substantial when perceiving phantom pain. Due to the impairment of peripheral nerves in the process of amputation, regenerative sprouting of damaged axons occurs and the activity rate of inflamed C-fibres and demyelinated A-fibres spontaneously increases (Flor, 2002). As a consequence of this nerve injury, a neuroma, which is a mass of pruned and tangled axons, may form in the residual limb producing abnormal (ectopic) activity (Katz, 1992). Flor, Nikolajsen and Jenson (2006) proposed that ectopic discharge from a neuroma in the stump illustrates abnormal afferent input to the spinal cord, which is a possible mechanism for unpro...
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture.
Scientists are on the brink of doing the unthinkable-replenishing the brains of people who have suffered strokes or head injuries to make them whole again. If that is not astonishing enough, they think they may be able to reverse paralysis. The door is at last open to lifting the terrifying sentence these disorders still decree-loss of physical function, cognitive skills, memory, and personality.
Increasing the shock voltage recruits more axons into the response until all of the axons in the sciatic nerve are above threshold, and an action potential is produced. Thus, the compound action potential would increase as the shocks of voltage increased. The amplitude was smaller with some voltages, because a mild shock only brought a few axons to threshold, which elicits a small compound action potential. A few of the voltages produced no response, because the shock did not produce any action potentials. This can be seen on the
Like all organs, the brain needs the oxygen and nutrients provided by blood to function properly. If the supply of blood is restricted or stopped, brain cells begin to die. This can lead to brain injury, disability and possibly death.
A serious brain injury could lead to bleeding in or around your brain, causing symptoms that may develop right away or later.
The effects of multiple disabilities are often both multiplicative and interactive. Cerebral Palsy is a disability that originates from damage to the central nervous system, but which is often accompanied by sensory, communication, orthopedic, learning and cognitive abilities. The complex nature of cerebral palsy is related to differences in causation and the nature and degree of motor involvement. In this paper, Cerebral Palsy will be defined and described, followed by discussion of conditions that frequently occur with this disability. A description of the impact of cerebral palsy on physical and communication development will also be discussed.
Brain death occurs when there is a loss of all brain and brain stem function due to damaged brain cells. It is often termed as an irreversible coma as the damaged cells cannot regenerate themselves and a patient is stuck in a coma-like state. (Wilson and Christensen, 2014)
The spinal cord is a major channel in the body where motor and sensory information travels from the brain to the body. It has white matter that surrounds a central gray matter. The gray matter is where most of the neuronal cells are located. Injury to the spinal cord will affect the conduction of information across any part of the spinal cord where the damage is located (Maynard et al., 1997). This will often result in permanent disability of a certain muscle or region of the body (Meletis et al., 2008) and a loss of tissue where the damage is located (Peng et al., 2009). As of now, there is no treatment for spinal cord injury expect for steroids. All steroids can do is provide protect of the spinal cord from secondary injury for specific patients (Peng et al., 2009).
The cell having lost all its dendrites and nucleus soon disintegrates. entirely, vanishing into the body's waste disposal system. With the depletion of enough nerve material the brain actually shrinks, sometimes by as much as ten. percent5. The number of percent.
Simple musculoskeletal back pain has symptoms of pain in the lumbrasacral area of the back (Jackson & Simpson, 2006). The upper thighs and knees are also known to be affected (Jackson & Simpson, 2006). This pain is usually described as a dull pain (Jackson & Simpson, 2006). Spinal nerve root pain is localised down the leg, and usually continues below the knee and into the feet (Jackson & Simpson, 2006). It has been d...
This is an overview of the spinal deformation called Scoliosis. What Scoliosis is as a whole, as well as a breif mention of other spinal deformations that are in a similar catagory as Scoliosis. The causes of scoliosis, and how it develops in people who suffer from the deformation. How Scoliosis is diagnosed and the symptoms it causes people to suffer in cases that are both mild and severe; are all topics that'll be covered.
The central nervous system (CNS) consists of the brain and the spinal cord. The brain and the spinal cord serves as the collection section of the nerve impulses. With damage to the peripheral nervous system the central nervous wouldn’t be able to interpret the stimuli’s because they wouldn’t be able to receive them. This system is considered to be ...