脊髓病变的定位诊断档（Location diagnostic files for spinal cord diseases）.docVIP

脊髓病变的定位诊断档（Location diagnostic files for spinal cord diseases） The contents of compiling the practical science (Department of Neurosurgery, peoples medical publishing house to be part of a publication), Nothing new for communication. Welcome to correct me!! (1) location diagnosis of spinal cord transection injury 1 complete transection of spinal cord In the early stage of acute spinal cord injury, acute spinal cord shock; about 4 to 6 weeks after transection injury segment gradually appear below the level of depth of feeling disappeared, bilateral spastic paralysis, sphincter dysfunction and skin nutrition disorders. More common in spinal cord contusion, epidural abscess, acute myelitis and so on. 2 spinal cord hemi side injury (Brown-Sequard, syndrome) In the following sections ipsilateral to the lesion damage level of spastic paralysis, deep sensory disorder; lesion of the contralateral damaged segment following pain, temperature drops or disappear, tactile existence; early skin flushing, fever, chills, cyanosis after; segmental lesions in the lesion side and the corresponding parts can have segmental paralysis root pain or paresthesia zonesthesia etc.. Commonly seen in intradural extramedullary spinal cord tumors and spinal cord injuries. 3 central lesion of spinal cord In the spinal cord lesion segment and components from segmental sensory disturbances, namely pain, athalposis, deep feeling and fine touch. Early onset of sphincter dysfunction and autonomic dysfunction of the skin resulted in normal motor function. In diseases such as syringomyelia. 4 injury of anterior root of spinal cord anterior horn In the damaged anterior horn before root innervation area appear segmental paralysis; a muscle fiber or fasciculation, but without sensory disturbance. In anterior poliomyelitis, anterior spinal artery infarction. 5 injury of posterior root and posterior funiculus of spinal cord The main feature is segmental sensory disturbance. After the cable damage, in the ipsi