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Spinal Nerve Compression above C5 Spinal Level

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Paulina Suszczynska

on 5 November 2013

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Transcript of Spinal Nerve Compression above C5 Spinal Level

Spinal Cord Compression above C5 Spinal Level
Consequences & Treatment
Scope of the Presentation...
What is Spinal Cord Compression?
Anatomy
Common Causes
Symptoms & Consequences
Treatment options & risks
Lifestyle impacts

Spinal Cord Compression
WHAT IS IT?... DEFINITIONS
Anatomy
SPINAL CORD & NERVES
CERVICAL PLEXUS
CERVICAL SPINE
Features of Cervical Vertebrae:
body
vertebral foramen
transverse process
articular process
.
Causes of Cord Compression
Symptoms...
... and Consequences
Treatment Options
Sociological Implications
Loss of Job / Income:
Impact on family budget
Feelings of being a burden; need for care
Bed / wheelchair bound - effects of social stigma
CONCLUSION
Thank You
... any questions?
Presenters: Priya Patel & Tan Hann Hsiang
Presentation Design: Paulina Suszczynska & Emily Souter
Research: Bryony Woods, George Potts, Olivia Roberts, Tan Hann Hsiang, Paulina Suszczynska, Priya Patel, Abigael Tivey, Emily Souter
sources:
Trauma
Fracture of cervical vertebrae
Metastatic tumour
Bacterial infections
Herniation / Rupture of an intervertebral disc
Oedema
The onset of symptoms is usually slow over a period of weeks, months, even years. It is often associated with ageing, unless the cause is trauma.
Cervical Myelopathy ...


Cervical Radiculopathy ...
Symptoms experienced
by Patients
Clumsiness of hands / Coordination problems
Weakness of limbs
Parasthesia / Tingling sensation starting at the feet
Loss of bladder & bowel sensation and control - PNS neurones at S2-S4
Quadriplegia
Difficulty breathing - phrenic nerve roots
Neck stiffness & arm pain
Pain worsened on coughing or sneezing
Clinical Examination Presentations
Increased muscle tone in lower limbs - unsteady / wobbly gait.
Hyper-reflexia
Clonus
Abnormal Babinski reflex
Positive Hoffman's reflex
Atrophy of hand muscles
Sensory loss below level of compression
Compression may cause nerve tissue damage directly or by obstructing the blood supply e.g. anterior spinal artery.
Sequence of Events
in Tumour Compression
Tumour
> Pain on Coughing
> Vertebral Pain with Root Distribution
> Weakness of leg, sensory & proprioception loss
> Loss of bladder & bowel control and sensation
> Irreversible paraplegia if not treated
Early diagnosis, e.g. using MRI Imaging, and treatment is vital. The decompression &treatment should be started within 24hr of diagnosis to prevent irreversible damage. Some people might have to be admitted to an Intensive Care Unit.
GENERAL TREATMENTS
medication
physical & alternative therapy
surgical treatment
DUE TO TUMOUR?...
vertebroplasty
/ kyphoplasty
radiotherapy
chemotherapy
bisphosphates
TREATMENT: 2' PROBLEMS
bladder problems
thrombosis
pressure sores
bowel function
A lot of problems are caused by reduced ability to move / paraplegia.
PHYSIOTHERAPY
OCCUPATIONAL THERAPY
WHEELCHAIRS
Loss of Independence; difficulty with everyday activities
Feelings of shame and embarrassment
Noncompliance with therapy e.g. younger patients
Reorganization
of daily routine
'Loss of self'
Cost of treatment
• Spinal cord compression is.....




• Spinal injuries can be classified as incomplete or complete









Incomplete
Complete
In Conclusion…
There are many causes for spinal cord compression, mainly trauma and also metastatic cancer.
Clinical presentation varies according to the severity of the compression from peripheral tingling sensations to loss of nerve function and quadriplegia.
Therefore there are a range of different treatment options available, including surgery, physiotherapy and the use of medication.
The different treatment options each have different sociological impacts for not only the patient but also their families and carers.
Spinal cord compression above C5 can be very complex but can also be correctly treated and managed if diagnosed within a short time frame.
Boon, N.A, Colledge N.R et al. 2006. Davidson’s principles and practice of medicine. Philadelphia: Elsevier pp.1243-1245
Kumar, P and Clark, M. 2012. Kumar and Clarks clinical medicine. Spain: Elsevier pp. 449, 1135, 1087
S Clinic. 2012. Compression Myelopathies [Online]. Available at: http://www.neuroanatomy.wisc.edu/SClinic/Myelo/Myelopathy.htm [Accessed: 15 October 2013].
Warrell, D.A, Cox, T.M et al. 2010. Oxford textbook of medicine. New York: Oxford University Press pp. 389
S Clinic. 2012. Compression Myelopathies [Online]. Available at: http://www.neuroanatomy.wisc.edu/SClinic/Myelo/Myelopathy.htm [Accessed: 15 October 2013].
Warrell, D. A., Cox, T. M., Firth, J. D. (eds). (2010). Oxford textbook of medicine. 5th ed. Oxford: Oxford University Press.
Rao, R. (2009). Cervical Stenosis, Myelopathy and Radiculopathy [Online]. Burr Ridge, IL: North American Spine Society. Available at: http://www.knowyourback.org/pages/spinalconditions/degenerativeconditions/cstenosis_myelopathy_radiculopathy.aspx [Accessed: 16th October 2013].
Ullrich, P. F. (2009). Spinal Cord Compression and Dysfunction from Cervical Stenosis [Online]. Deerfield, IL: Spine-health. Available at: http://www.spine-health.com/conditions/spinal-stenosis/spinal-cord-compression-and-dysfunction-cervical-stenosis [Accessed: 16th October 2013].
http://www.cancerresearchuk.org/cancer-help/coping-with-cancer/coping-physically/spinal/treating-spinal-cord-compression http://www.hopkinsmedicine.org/
Kumar & Clark’s Clinical medicine
L Chin, F Mesfin, S Dawodu, 2013, Spinal cord injuries, Medscape
Spinal cord decompression, 2013,Treatment and procedures, Cleveland Clinic, available at http://my.clevelandclinic.org/services/spinal_decompression_surgery/hic_spinal_decompression_surgery.aspx accessed on 15/10/2013
K Moore, A Agur, A Dalley, 2011, Essential clinical anatomy, fourth edition,
Drake, R.L., Wayne Vogl, A. and Mitchell, A.W.M. (2010) Gray’s Anatomy for Students. 2nd ed. Philadelphia: Churchill Livingstone Elsevier.
Medline Plus (2012). Spinal Cord Trauma. [Online]. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/001066.htm [Accessed: 12/10/13].
Medline Plus (2012). Spinal Cord Abscess. [Online]. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/001405.htm [Accessed: 12/10/13].
Tse, V. (2012) Spinal Metastasis. Medscape. [Online]. Available at: http://emedicine.medscape.com/article/1157987-overview [Accessed: 12/10/13].
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