Spinal cord compression steroid dose

Other causes of spinal cord trauma include infections, ischaemia, and compression from tumor growth or fractured vertebrae. Diagnosis through MRI scanning is usual, along with functional tests and physical examination. Some conditions may be alleviated with simple rest, the use of anti-inflammatory medications, or analgesics as the injury heals. In other cases, spinal surgery may be required to remove fracture debris, correct herniated disc in neck or other areas of the spine through a discectomy, or to remove spinal cord tumors. A laminectomy may be performed in order to give the spinal cord more room. It is not always possible to treat spinal cord injuries and some paralysis and loss of sensation becomes permanent.

Nerves
As we mentioned, the nerves that exit the spinal cord do so in pairs: one is a sensory nerve; the other is a motor nerve. It's probably no surprise to learn that motor nerves drive movement and bodily function. If you damage a motor nerve, you might have a weakness in a muscle or loss of function—for example, loss of bladder control. If, however, you can't feel the prick of a pin in your foot, you've lost some sensation, which indicates a problem with your sensory nerves, which govern pressure, pain, temperature, and other such sensations. This is why a doctor might gently poke you with a pin and ask about your bowel movements. If you can't feel the pin or have had a problem with bowel movements, it's a symptom of nerve damage.

Most demographic and epidemiological data related to traumatic spinal cord injury (TSCI) in the United States have been collected by the Model Spinal Cord Injury Care Systems and are published by the National Spinal Cord Injury Statistical Center [ 2 ]. In the United States, the incidence of TSCI in 2010 was about 40 per million persons per year, or about 12,400 annually [ 3 ], with approximately 250,000 living survivors of TSCI in the United States in July 2005. Similar figures are reported in Canada [ 4 ]. The incidence in the USA is higher than in most other countries.

Surgery is indicated in localised compression as long as there is some hope of regaining function. It is also occasionally indicated in patients with little hope of regaining function but with uncontrolled pain. Postoperative radiation is delivered within 2–3 weeks of surgical decompression. Emergency radiation therapy (usually 20 Gray in 5 fractions, 30 Gray in 10 fractions or 8 Gray in 1 fraction) is the mainstay of treatment for malignant spinal cord compression. It is very effective as pain control and local disease control. Some tumours are highly sensitive to chemotherapy (. lymphomas, small-cell lung cancer) and may be treated with chemotherapy alone.

Spinal cord compression steroid dose

spinal cord compression steroid dose

Surgery is indicated in localised compression as long as there is some hope of regaining function. It is also occasionally indicated in patients with little hope of regaining function but with uncontrolled pain. Postoperative radiation is delivered within 2–3 weeks of surgical decompression. Emergency radiation therapy (usually 20 Gray in 5 fractions, 30 Gray in 10 fractions or 8 Gray in 1 fraction) is the mainstay of treatment for malignant spinal cord compression. It is very effective as pain control and local disease control. Some tumours are highly sensitive to chemotherapy (. lymphomas, small-cell lung cancer) and may be treated with chemotherapy alone.

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