Spinal cord injury affects brain,how do you get rid of mice quickly,inspirational sayings about staying positive - Good Point

Author: admin, 27.09.2013. Category: Understanding The Law Of Attraction

The spinal cord communicates two-way messages to and from the brain and skin, muscle and organs of your body. Aside from the physical impact, spinal cord injury can have a significant psychological impact on the person with the injury and their family. Spinal cord injuries: cause myelopathy or damage to nerve roots or myelinated fiber tracts that carry signals to and from the brain.
MVA, falls, sport injuries, industrial injuries, war injuries, diving accidents, gunshot ..
Traumatic Brain and Spinal Cord Injury comprehensively covers the medical and pathological issues related to neurotrauma and its often devastating consequences.
Presenting the most up-to-date clinical and experimental research in neurotrauma, this volume is essential reading for neurologists, neurosurgeons, intensive care physicians and rehabilitative physicians. Radiological investigations are crucial to medical professionals in determining an accurate diagnosis of spinal injury. Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRI) are used for further evaluation. The most telling and important spinal x-ray when cervical spinal cord injury is suspected the lateral view of the neck obtained with the x-ray beam horizontal consistently offers the best possible insight to spinal damage and can be taken in the hospital emergency department without moving a supine (face up) patient. Lower cervical vertebrae are generally obscured by the shoulders unless depressed by applying traction to both arms. The thoracic spine is often demonstrated well on the anteroposterior chest radiograph that forms part of the standard series of views requested in major trauma. Radiographs of the thoracic and lumbar spine must be specifically requested if a cervical spine injury has been sustained (because of the frequency with which injuries at more than one level coexist) or if signs of thoracic or lumbar trauma are detected when the patient is log rolled. A significant force is normally required to damage the thoracic, lumbar, and sacral segments of the spinal cord, and the skeletal injury is usually evident on the standard anteroposterior and horizontal beam lateral radiographs. A detailed demonstration of the thoracic spine can be extremely difficult to obtain, particularly in the upper four vertebrae, and CT scans are often required for a clearer definition. One particular type of fracture, the “Chance” fracture, is typically found in upper lumbar vertebrae.
Haematoma (blood pooling – bruising) in the posterior mediastinum (rear mid chest cavity region) is often seen around a thoracic fracture site, particularly in the anteroposterior view of the spine and sometimes on the chest radiograph requested in the primary examination.
In addition to cervical, thoracic, lumbar, and sacral sections a spinal column is divided into three basic column sections; anterior (front), middle, and posterior (back). Any evidence of either anterior or posterior displacement (1) between vertebrae greater than 4mm on a lateral cervical radiograph is considered abnormal.
On the lateral radiograph, widening of the gap between adjacent spinous processes (9) following rupture of the posterior cervical ligamentous complex denotes an unstable injury which is often associated with vertebral subluxation (9) and a crush or compression fracture of the vertebral body. Fractures of the anteroinferior margin of the vertebral body otherwise known as “teardrop” fractures are often associated with an unstable flexion injury and sometimes retropulsion of the vertebral body or disc material into the spinal canal. On the anteroposterior radiograph, displacement of a spinous process from the midline (2) may be explained by vertebral rotation secondary to unilateral facet dislocation, the spinous process being displaced towards the side of the dislocation. Oblique radiographs are not routinely obtained, but they to help to confirm the presence of subluxation or dislocation and indicate whether the right or left facets (apophyseal joints), or both, are affected.
Flexion and extension views of the cervical spine may be taken if the patient has no neurological symptoms or signs and initial radiographs are normal but an unstable (ligamentous) injury is nevertheless suspected from the mechanism of injury, severe pain, or radiological signs of ligamentous injury. If there is any doubt about the integrity of the cervical spine on plain radiographs, CT scans should be performed.


MRI gives information about the spinal cord and soft tissues and will reveal the cause of cord compression, whether from bone, prolapsed discs, ligamentous damage, or intraspinal haematomas. These scans can also be used to demonstrate spinal instability, particularly in the presence of normal radiographs. An accurate reading and diagnosis of spinal injuries and subsequent spinal cord injuries through means of x-rays, CT and MRI scans requires specialized training, expertise and experience.
Locked in the vice grips of Gardner-Wells tongs staring up at the fluorescent bulbs a doctor came by interrupting my torturous “nose toilet” routine, a nurse fishing for boogers with a cue tip. Without a spinal unit stuck in the main ward I was constantly surprised how many nurses had no idea how to care for a quadriplegic.
David Grundy, Honorary Consultant in Spinal Injuries, The Duke of Cornwall Spinal Treatment Centre, Salisbury District Hospital, UK. This entry was posted in Hospital Admission and Treatment and tagged hospital admission, paraplegia, quadriplegia, radiology, spinal cord injury, spinal injury unit on October 18, 2010 by Graham - Site Admin.
To all the valued members of the Mad Spaz Club I look forward to learning more about you all for many years to come, sharing with open hearts our experiences through the freedom of speech empowering us and making all our lives meaningful positive and the richer.
It sounds like Australian hospitals are similar to American hospitals…except here in America, patients are often presented with a free-of-charge staph infection before checking out. Depression and anxiety are not uncommon in those affected by spinal cord injury with many.people feeling that the things most important to them in life may never be the same.
Depending on its classification and severity, this type of traumatic injury could also damage the gray matter in the central part of the cord, causing segmental losses of interneurons and motorneurons. Written by globally renowned experts in the field, both clinicians and researchers will find this book invaluable to update their knowledge.
Once a patient’s condition is stable, plain x-ray radiographs are generally taken in the hospital radiology department. When x-rays prove no fracture, dislocation or other bony abnormalities exist it is important to remember, it does not mean no spinal cord injury exists.
This traction must be stopped if it produces pain in the neck or exacerbates any neurological symptoms. In obtunded patients in whom the thoracic and lumbar spine cannot be evaluated clinically, the radiographs should be obtained routinely during the secondary survey or on admission to hospital.
Burst fractures (8), and fractures affecting the posterior facet joints or pedicles (3), are unstable and more easily seen on the lateral radiograph. It runs transversely through the vertebral body and usually results from a shearing force exerted by the lap component of a seat belt during severe deceleration injury.
Anterior displacement of less than half the diameter of the vertebral body suggests unilateral facet dislocation, displacement greater than this indicates bilateral facet dislocation.
The spine is relatively stable in a unilateral facet dislocation, especially if maintained in extension. They may elucidate abnormalities at the cervicothoracic C7-T1 junction and some authorities recommend them as part of a five-view cervical spine series.
To obtain these radiographs, flexion and extension of the whole neck must be performed as far as the patient can tolerate under the supervision of an experienced doctor. These provide much greater detail of the bony structures and will show the extent of encroachment on the spinal canal by vertebral displacement or bone fragments.
These allow for a faster examination and clearer reconstructed images in the sagittal and coronal planes.


It will also show the extent of cord damage and oedema (swelling) which is of some prognostic value.
MRI has superseded myelography, both in the quality of images obtained and in safety for the patient, allowing decisions to be made without the need for invasive imaging modalities. X-rays of the lower cervical, thoracic and lumbar spine are commonly obstructed by other bones and organs.
Almost boasting he proudly held up an x-ray of cervical vertebra 4-5 at right angles to each other. I didn’t realize turning from my desk the tip of my shoe caught the table leg, it went off like a firecracker. Quite impressed they not only managed to x-ray the correct leg, the clarity and resonance of the x-ray films was excellent.
This volume is divided into two sections, one covering the brain, the other the spinal cord.
When symptoms of nerve damage exist a doctor should be in attendance to ensure any spinal movement is kept to a minimum. If the lower cervical spine is still not seen, a supine “swimmer’s” view where the near shoulder is depressed and the arm next to the cassette abducted can show abnormalities as far down as the first or second thoracic vertebra.
With a bilateral facet dislocation, the spinous processes are in line, the spine is always unstable, and the patient therefore requires extreme care when being handled.
I can’t recall what he said or what condition the patient was in but that image has always stuck in my mind. A urologist who clamped off my catheter to take a sample neglected to remove the clamp, sweating again, we discovered it a little faster this time. Sandbags, collars and tapes are not always radiolucent, and clearer radiographs may be obtained if these are removed after preliminary films have been taken. I guess it did help lessen the shock value of seeing my own x-ray films but such horrendous injuries usually result in death.
They put a full lower leg cast on then cut a two inch gap down the front in order to periodically check for pressure areas. You can see the surgical steel rod they call a nail and the screws top and bottom keeping it in place. As an advocate and keynote speaker for spinal cord injury awareness I am not afraid to discuss tough and controversial subjects.
I have become a better man for listening to you the Mad Spaz Club members, and I thankyou one and all. So willing to bare your soul and share your precious thoughts many of you have touched me deeply.
I have cried and laughed along with you, it has been humbling, empowering, and will always be my honor.



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