AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesInformation ScienceHealth Care
Spinal Cord CompressionEpidural NeoplasmsEpidural SpacePulsed Radiofrequency TreatmentQuipazineSpinal NeoplasmsSpinal CordElectric Stimulation TherapySpinal Cord NeoplasmsSpinal Cord InjuriesLaminectomyThoracic VertebraeCervical VertebraeDecompression, SurgicalSpinal Cord DiseasesParaplegiaHematopoiesis, ExtramedullarySpinal DiseasesMyelographyScheuermann DiseaseSpinal CanalHematoma, Epidural, SpinalMagnetic Resonance ImagingHyperostosisParaparesisRheumatic NoduleOsteochondromaBalloon EmbolectomyOdontoid ProcessBone NeoplasmsEpidural AbscessExostoses, Multiple HereditaryQuadriplegiaDiphosphonatesArachnoid CystsArachnoidTuberculosis, SpinalHemangiomaData CompressionSpinal FusionFractures, SpontaneousSpineNerve Compression SyndromesSpinal FracturesNeurosurgical ProceduresTreatment Outcome
InjectionsAbscessNervesNarrowing of the spinal canalStenosisVertebraeStimulationHematomaCanalTumorDorsalPressure on the spinal cordBrain and spinal cordHorse's tailLesionsCervical spinalThoracicFractureAnesthesiaDysfunctionSpineCatheterSurgeryAnteriorlyDuraDisordersManage and ultimately alleviateSevereSensoryTissueDiscsNeurologicPosteriorGlialFracturesSpaceSpondylolisthesisNeuronsPatientsMetastasisInfectionRadiculopathyPainInjuryClinicalStabilizeIrritationInjuriesSecondaryInvasiveTreatment
Injections7
  • In rare instances, infections can occur as a result of direct inoculation (eg, epidural steroid injections). (medscape.com)
  • Severe pain may also be treated with corticosteroids that are injected into the lower back (i.e. epidural steroid injections). (cessspinemumbai.com)
  • Through interventional, nonsurgical procedures - including compression fracture treatment (vertebroplasty and kyphoplasty), radiofrequency ablation , spinal cord stimulation and epidural steroid injections - our physiatrists treat and manage painful symptoms related to a variety of back and spine conditions. (kcorthoalliance.com)
  • Nerve block approaches range from injections of local anesthetics, botulinum toxin, or steroids into affected soft tissues or joints to more complex nerve root blocks and spinal cord stimulation. (unlockhipflexor.com)
  • Perform procedures like nerve blocks, radio frequency ablations and spinal injections. (summapaincare.com)
  • Steroids are widely used in nerve root blocks, epidural injections, and facet joint injections in an attempt to provide temporary relief from pain. (medscape.com)
  • Instead of an epidural, they gave me three spinal injections to numb me from the chest down. (chiaribridges.org)
Abscess7
Nerves13
  • FIGURE 6-1 Schematic illustration of the relationships between the spinal cord, spinal nerves, and vertebral column (lateral view), showing the termination of the dura (dura mater spinalis) and its continuation as the filum terminale externum. (neupsykey.com)
  • Each of the other spinal nerves (T1-12, L1-5, S1-5, and normally two coccygeal nerves, Co1 and Co2) emerges from the intervertebral foramen below the respective vertebra. (neupsykey.com)
  • Cauda equina syndrome is a complication from the compression of the nerves at the end of the spinal cord within the spinal canal. (medicinenet.com)
  • Cauda equina syndrome can be caused by any condition that results in direct irritation or pinching of the nerves at the end of the spinal cord. (medicinenet.com)
  • Partial cauda equina syndrome is the terminology that applies when there is incomplete compression of the nerves of the lower spinal cord. (medicinenet.com)
  • Compression of the spinal nerves of the spinal cord can lead to permanent dysfunction of the lower extremities, bladder, and bowels. (medicinenet.com)
  • This narrowing places pressure on the spinal cord and/or nerves. (cessspinemumbai.com)
  • Nerves in the periphery, for example in the hands and feet, are covered by so-called Schwann cells, in the spinal cord and in the brain myelin is formed by cells - oligodendrocytes. (medicspark.com)
  • Common workplace back injuries include lower back strain, slipped or herniated discs, as well as fractured vertebrae, pinched nerves and spinal cord damage. (kcorthoalliance.com)
  • There was involvement of the orbits medially with compression on the optic nerves, left more than right ( Figure 1 ). (appliedradiationoncology.com)
  • There are many structures in the back - the vertebral column and its supporting structures, the spinal cord and the surrounding nerves, the visceral organs of the endocrine and digestive systems, the muscles and ligaments of the back, which support the torso, enable humans to stand upright, and carry out essential functions. (kevinlimd.com)
  • The brainstem is the uppermost part of the spinal cord as it exits the skull, and has a set of 12 nerves that comprise the cranial nerves. (newregenortho.com)
  • The doctor then removes disc material, relieving pressure in the nerves and ultimately alleviating pain. (lamisinstitute.com)
Narrowing of the spinal canal2
Stenosis7
  • Has anyone experienced neuropathy in the buttock and posterior thighs as a symptom of L4-5 nerve compression from spinal stenosis. (mayoclinic.org)
  • Consider the possibility that along with your lumbar spinal stenosis and symptoms related to that, there can also be a muscular syndrome that mimics a spine problem adding more symptoms and confusion in your diagnosis. (mayoclinic.org)
  • Many patients with lumbar stenosis remain symptom-free until other conditions further compress the spinal canal. (cessspinemumbai.com)
  • How is Spinal Canal Stenosis Surgically Treated? (cessspinemumbai.com)
  • This narrowing results in a relative spinal stenosis and back pain. (seekhealthz.com)
  • MRI is highly accurate and helps identify abnormalities that may put the patient at risk of developing lumbar myelopathy, such as the trefoil spinal canal of congenital spinal stenosis. (seekhealthz.com)
  • Spinal stenosis - a spinal canal narrowing to the extent it presses on the spine. (lamisinstitute.com)
Vertebrae4
Stimulation6
  • An extensive search for potential therapeutic solutions has not provided promising results ( 4 , 5 ), though some of the recently proposed therapeutic protocols, such as epidural stimulation, seem to be encouraging ( 6 - 8 ). (frontiersin.org)
  • He is one of the region's most proficient physicians in performing fluoroscopic-guided procedures, including epidural nerve blocks, radiofrequency ablation, intradiscal electrothermal annuloplasty, vertebroplasty, spinal cord stimulation, and non-surgical disc decompression techniques. (treatingpain.com)
  • Well versed in his field, Dr. Kendall has published articles and lectured nationally on a range of interventional pain management topics, including the use of spinal cord stimulation, thermal annuloplasty, and radiofrequency rhizotomy in treating back pain, as well as pharmacological approaches to chronic pain. (treatingpain.com)
  • He serves on the National Physician Advisory Board for Advanced Bionics as a thought leader on best practices for spinal cord stimulation (SCS) technology in clinical medicine. (treatingpain.com)
  • This most recent advance is now leading a renewed interest in the possibility of using special electrode arrays in the delivery of electrical stimulation to the spinal cord. (clinicalgate.com)
  • Each of these painful conditions carries their own best treatment plans but with the Summa Pain Care's ability to diagnose, consult and treat on-site we can employ advanced treatment options like Spinal Cord, Dorsal Root Ganglion or Peripheral Nerve Stimulation Trial and Implants, Discography with Intradiscal Platelet Rich Plasma, Vertiflex or Sacroiliac Joint Intervention: Block, Injection, Ablation or Fusion. (summapaincare.com)
Hematoma1
Canal3
  • The goal of each of these surgical treatments is to widen the spinal canal and relieve the pressure by removing the cause of compression. (cessspinemumbai.com)
  • Sometimes the foramen (the area where the nerve roots exit the spinal canal) may also need to be enlarged. (cessspinemumbai.com)
  • His past medical history was remarkable for congenital heart defects, bilateral congenital hip dislocations, and a sacral dimple which is sometimes associated with neurologic spinal canal abnormalities. (csurgeries.com)
Tumor1
  • FIGURE 6-3 Epidural tumor in Hodgkin's disease, showing compression of the thoracic spinal cord (Weil stain). (neupsykey.com)
Dorsal6
  • Some series suggest that dorsal spinal epidural abscesses are much more likely to present with weakness and severe neurologic deficit than ventral spinal epidural abscesses. (medscape.com)
  • The dorsal dura and the spinal cord were displaced anteriorly and there was a slight compression of the spinal cord. (bvsalud.org)
  • The dentate ligament is a long flange of whitish, mostly pial tissue that runs along both lateral margins of the spinal cord between the dorsal and ventral rootlets (see Fig 6-2 ). (neupsykey.com)
  • The cauda equina is made up of dorsal and ventral roots that arise from lumbar and sacral segments of the cord. (neupsykey.com)
  • As the ventral and dorsal roots (on each side) at each segmental level converge to become a spinal nerve, they are enclosed in sleeves of arachnoidal and dural tissue (see Fig 6-2 ). (neupsykey.com)
  • The dorsal root sleeve contains the dorsal root ganglion near the point at which both sleeves merge to become the connective tissue sheath (perineurium) of a spinal nerve. (neupsykey.com)
Pressure on the spinal cord1
Brain and spinal cord2
  • Neuro-oncology is the study of brain and spinal cord neoplasms, many of which are (at least eventually) very dangerous and life-threatening (astrocytoma, glioma, glioblastoma multiforme, ependymoma, pontine glioma, and brain stem tumors are among the many examples of these). (wikipedia.org)
  • Astrocytes - a star-shaped glial cell in the brain and spinal cord that provides nutrients to neurons, holds neurons in place, and participates in repairing damage after an injury. (nascic.org)
Horse's tail2
  • These roots sweep downward within the dural sac, below the termination of the cord, and give the appearance of a horse's tail. (neupsykey.com)
  • The terminology cauda equina literally means the tail of the horse and refers to the normal anatomy of the end of the spinal cord in the low back where it divides into many bundles of nerve tracts resembling a horse's tail. (medicinenet.com)
Lesions3
  • More than in any other part of the nervous system, pathologic lesions impinging on the spinal cord often originate in the membranes or vertebral column that surround it. (neupsykey.com)
  • Pathologic Vertebral Compression Fractures occur commonly in children with primary or secondary osteoporosis or due to primary site lesions, such as metastases. (jposna.org)
  • AFM is an illness that's characterized by the sudden onset of flaccid weakness in one or more extremities and also by distinct longitudinal gray matter lesions in the spinal cord. (cdc.gov)
Cervical spinal4
  • After his two week hospital recovery from the craniotomy, Mr. Zhang then had to endure a cervical spinal surgery. (odjaghianlaw.com)
  • It descends along the ventral surface of the cervical spinal cord, narrowing somewhat near T4. (neupsykey.com)
  • FIGURE 6-4 Cross section of the cervical spinal cord. (neupsykey.com)
  • At the base of the brain is the brainstem, which extends from the upper cervical spinal cord to the diencephalon of the cerebrum. (medscape.com)
Thoracic3
  • [ 4 ] Cervical spine epidural abscesses are less common than those found in the thoracic and lumbar spine, although the former is associated with a higher risk of morbidity and mortality. (medscape.com)
  • Subsequent emergency magnetic resonance imaging (MRI) of the spine showed no signs of bleeding but her symptoms persisted, and a repeat MRI of the spine ultimately revealed substantial epidural fluid collection extending from the cervical level to the lower thoracic spine, with signs of intracranial hypotension in the MRI of the brain. (bvsalud.org)
  • Additionally, she sustained an endplate compression fracture of her thoracic spine. (autoaccident.com)
Fracture3
  • A compression fracture was the presenting symptom of an underlying diagnosis in 32% of patients, and 21% of patients received an MRI to distinguish between metastatic disease and benign fractures. (jposna.org)
  • Overall, 32% of patients presented with a compression fracture as the presenting symptom of an underlying disease. (jposna.org)
  • 6 Children with osteoporosis often present with recurrent fractures and back pain, and the incidental finding of a compression fracture may lead to a diagnosis of osteoporosis. (jposna.org)
Anesthesia3
  • CASE PRESENTATION: The dura of a 32-year-old woman undergoing cesarean section was accidentally penetrated while administering epidural anesthesia, and the patient developed PDPH the subsequent day. (bvsalud.org)
  • Topping up the epidural for emergency cesarean section was unsuccessful and the surgery was done under general anesthesia. (bvsalud.org)
  • Cardiovascular system (CVS) effects either result indirectly from inhibition of autonomic pathways during regional anesthesia (as in high spinal or epidural block) or are directly due to depressant actions on the CVS. (dieutridau.com)
Dysfunction3
  • If left untreated, an expanding suppurative infection in the spinal epidural space can impinge upon the spinal cord, producing sensory symptoms, weakness/motor dysfunction, and, ultimately, paralysis and even death. (medscape.com)
  • Prognosis in general is related to the duration of spinal cord dysfunction and the degree of cord impairment at the time of diagnosis. (medscape.com)
  • However, upper motor neuron dysfunction can decrease tone and reflexes if motor paralysis is sudden and severe (eg, in spinal cord transection, in which tone first decreases, then increases gradually over days to weeks) or if the lesion damages the motor cortex of the precentral gyrus and not nearby motor association areas. (msdmanuals.com)
Spine9
  • The spine most often is affected by metastatic disease involving the epidural space. (wikipedia.org)
  • Repeated neuro-imaging led to the diagnosis of a previously unrecognized inadvertent dural puncture and extensive cerebrospinal fluid spread within the epidural space, causing a sensory phenomenon in the spine and lower extremities known as Lhermitte's sign. (bvsalud.org)
  • 1 Of all pediatric spine fractures, compression fractures are the most prevalent. (jposna.org)
  • Physical examination - You will be carefully examined by one of our spine specialists for limitations of movement, problems with balance, pain, loss of reflexes in the extremities, muscle weakness, loss of sensation, and other signs of spinal cord injury. (cessspinemumbai.com)
  • Spinal implants (called instrumentation) such as screws and rods are used to support the spine and provide additional stability while the fusion is healing. (cessspinemumbai.com)
  • The technology of spinal internal fixation began to develop rapidly, especially in the field of cervical spine surgery. (biomedcentral.com)
  • If you suffer from spinal issues, or severe spine, or backbone pain, schedule a consultation with Dr. Sameep Sohoni, a renowned Spine Surgeon in Thane. (drsameepsohoni.com)
  • Visit the Spine Clinic in Thane, Mumbai, for the best solutions for your spinal health. (drsameepsohoni.com)
  • Spine Anatomy - The spine is a complex & crucial part of the human body , as it serves as the central support structure & plays an important role in maintaining posture, supporting movement, protecting the spinal cord, & facilitating various bodily functions. (drsameepsohoni.com)
Catheter3
  • When extreme pain is involved, low doses of drugs may be administered by catheter directly into the spinal cord. (unlockhipflexor.com)
  • This video demonstrates an epidural catheter placement on a 2-year-old, 12kg male patient presenting for left hip osteotomy. (csurgeries.com)
  • Pediatric Lumbar Epidural Catheter Placement via the Landmark Technique. (csurgeries.com)
Surgery9
  • Methicillin-resistant S. aureus (MRSA) is increasingly reported, particularly in patients with a history of MRSA abscesses, spinal surgery, or implanted devices. (medscape.com)
  • Settlement: Paraplegic injuries to 11-year old girl following spinal surgery. (klinespecter.com)
  • Because the syndrome is a medical emergency, neurosurgery or spinal surgery consultants should be notified immediately. (medicinenet.com)
  • I also have a T11-12 compression of the spinal cord which is causing balance instability and will require surgery. (mayoclinic.org)
  • For those patients who need surgical repair on more than one level, or who have significant spinal instability, spinal fusion may be required in addition to the decompression surgery. (cessspinemumbai.com)
  • A percentage of individuals will develop chronic, on-going lower back and/or leg pain after spinal surgery. (cartersvillechiro.com)
  • The goal of this surgery is to place a teflon cushion between the blood vessel and nerve where there is excessive compression causing pain. (newregenortho.com)
  • If TN is diagnosed as having a root in neurovascular compression, an evidence-based option for relief is the invasive MVD surgery. (newregenortho.com)
  • One prospective, randomized, controlled, double-blind study by Riew et al was performed in patients who were surgical candidates and who initially wished to undergo surgery to relieve radiculopathy from nerve root compression. (medscape.com)
Anteriorly1
  • Anteriorly, the epidural space is a potential space with the dura tightly adherent to the vertebral bodies and ligaments. (medscape.com)
Dura4
  • Three membranes surround the spinal cord: The outermost is the dura mater (dura), the next is the arachnoid, and the innermost is the pia mater (pia) ( Figs 6-1 and 6-2 ). (neupsykey.com)
  • The dura of the spinal cord is continuous with the cranial dura. (neupsykey.com)
  • The filum terminale stabilizes the cord and dura lengthwise. (neupsykey.com)
  • Its medial edge is continuous with the pia at the side of the spinal cord, and its lateral edge pierces the arachnoid at intervals (21 on each side) to attach to the inside of the dura. (neupsykey.com)
Disorders3
  • Disorders of the spinal cord may affect tracts from upper motor neurons, lower motor neurons (anterior horn cells), or both. (msdmanuals.com)
  • Compression fractures are often associated with lower energy trauma and may occur in the setting of abnormal bone health associated with genetic disorders and endocrine disorders, neoplastic disease, infection, and inflammatory disorders. (jposna.org)
  • 2 While the majority of compression fractures are traumatic, they may also occur in the setting of abnormal bone health associated with genetic and endocrine conditions, neoplastic disease, infection, or inflammatory disorders. (jposna.org)
Manage and ultimately alleviate2
  • As a team of skilled interventional pain management specialists, we aim to provide you with the information and treatments you need to manage and ultimately alleviate your pain. (prospinepain.com)
  • In this extensive guide, we'll delve into the myriad facets of sciatic pain, offering you a comprehensive overview of what causes it, the potential remedies available, and how to effectively manage and ultimately alleviate this troublesome condition. (kreetankhabar.com)
Severe1
  • These conditions vary in severity, from simple positional matters to more severe spinal cord irritation and cancer. (kevinlimd.com)
Sensory2
  • Compression of the spinal cord at this level can lead to a number of typical symptoms of the syndrome (low back pain , sciatica , saddle sensory changes, bladder and bowel incontinence , and lower extremity motor and sensory loss). (medicinenet.com)
  • ASIA Impairment Scale- - is a standardized neurological examination used by the rehabilitation team to assess the sensory and motor levels which were affected by the spinal cord injury. (nascic.org)
Tissue3
  • The development of symptoms is the result of meningeal irritation from the infection, structural instability from local tissue and ligamentous destruction, and neurological symptoms arising as a consequence of spinal cord compression and hypoxia from vascular compromise due to thrombophlebitis. (medscape.com)
  • Radiologic testing such as CT (computerized axial tomography) and MRI ( magnetic resonance imaging ) scanning can document compressed spinal cord tissue. (medicinenet.com)
  • With this method the low-temperature liquid nitrogen is used for the cryodestruction of the spinal cord tissue. (frontiersin.org)
Discs2
  • Auto Accident - Our client suffered multiple herniated cervical discs and bony hypertrophic changes with spinal cord impingement. (autoaccident.com)
  • Physical exams, imagery (MRI, myelogram, or CT scan), and history show the discs are bulging, although the substance in the disc has not erupted into the spinal column. (lamisinstitute.com)
Neurologic1
  • The neurologic clinician must, therefore, be very familiar with these structures and their relationship to the spinal cord. (neupsykey.com)
Posterior1
Glial3
  • We have developed an original model of post-traumatic spinal cord glial scarring in rats through cryoapplication. (frontiersin.org)
  • The proposed method of cryoapplication for inducing reproducible glial scars could facilitate a better understanding of the self-recovery processes in the damaged spinal cord. (frontiersin.org)
  • Spinal cord injury (SCI) is one of the leading causes of disability, associated with the inevitable formation of a glial scar in the post-traumatic period, which impedes the regenerative axonal growth through the lesion ( 1 - 3 ). (frontiersin.org)
Fractures3
  • There is no significant series in the literature describing the prevalence or etiology of pathologic pediatric compression fractures. (jposna.org)
  • Pathologic vertebral compression fractures in children frequently occurred due to immunosuppressants, ALL, and metastatic disease. (jposna.org)
  • 3 Pathologic compression fractures in children may also occur by structural compromise through a primary lesion of the vertebral body. (jposna.org)
Space6
Spondylolisthesis2
  • I've shared a lot about my experience with spondylolisthesis and spinal fusion , but I've never really talked about how my back pain started in the first place. (mommyrunsit.com)
  • Occasionally, a patient with spondylolisthesis experiences compression of the lumbar spinal nerve roots and cauda equina, resulting in myelopathy or cauda equina syndrome. (seekhealthz.com)
Neurons1
  • The neurons involved (upper motor or corticospinal tract neurons) synapse with neurons in the spinal cord (lower motor neurons). (msdmanuals.com)
Patients3
  • In patients with localized disease at diagnosis, only 1 case each of spinal involvement 5 and leptomeningeal carcinomatosis 6 as isolated delayed recurrences of SNUC have been reported. (appliedradiationoncology.com)
  • In a retrospective study of 23 patients treated for SNUC with radiation therapy (RT) with a median follow-up of 5 years, 5 patients ultimately developed distant metastases simultaneously with leptomeningeal recurrence. (appliedradiationoncology.com)
  • Patients with spinal cord injury and other conditions that cause neurogenic bladder are at higher risk of developing complications of urinary tract infections, which can drive over-investigation and over-treatment. (choosingwiselycanada.org)
Metastasis1
  • Cancer spreads to the nervous system by direct invasion, compression, or metastasis. (wikipedia.org)
Infection1
Radiculopathy1
  • For example, there are "12 studies using platelet products (including PRP and platelet lysate) have been published on lumbar epidural use to treat radiculopathy (4). (newregenortho.com)
Pain3
  • Conditions such as cervical spondylosis can lead to nerve compression in the neck, resulting in neck pain and sometimes radiating symptoms. (prospinepain.com)
  • Many people afflicted with TN ultimately have pain that eventually becomes constant. (newregenortho.com)
  • That extended sitting leads to poor posture, which can ultimately lead to pain. (summapaincare.com)
Injury5
  • Settlement: Negligent treatment of leukemia results in patient suffering spinal cord injury and quadriplegia. (klinespecter.com)
  • According to the World Health Organization, every year worldwide up to 500,000 people suffer a spinal cord injury (SCI). (frontiersin.org)
  • While these SCI models reproduce a realistic clinical course of the spinal cord injury in humans, they have multiple drawbacks, particularly, the impossibility to induce a "therapeutic" lesion. (frontiersin.org)
  • Autonomic dysreflexia - a potentially dangerous and, in rare cases, lethal clinical syndrome that develops in individuals with spinal cord injury, resulting in high blood pressure. (nascic.org)
  • The disc can bulge between the spinal bones through injury, wear & tear, or aging. (lamisinstitute.com)
Clinical1
  • A respected leader among his colleagues, Dr. Kendall was elected Chief Fellow and ultimately served as a clinical instructor at Johns Hopkins Hospital. (treatingpain.com)
Stabilize1
  • The dentate ligament helps to stabilize the cord from side to side. (neupsykey.com)
Irritation1
  • It's a relentless discomfort that stems from the irritation or compression of the sciatic nerve, the longest nerve in the human body. (kreetankhabar.com)
Injuries2
  • Verdict against Penn doctor for a woman whose spinal mass went undiagnosed, resulting in permanent injuries. (klinespecter.com)
  • In retrospect, I suspect that some of my "running related injuries" were actually symptoms of my worsening spinal condition. (mommyrunsit.com)
Secondary1
  • Respiratory depression and ultimately respiratory arrest may occur secondary to the toxic effect of the local anesthetic agent on the respiratory center in the medulla. (dieutridau.com)
Invasive1
  • At our practice, we perform many fusions using minimally invasive surgical techniques, thus reducing trauma to soft tissues, reducing blood loss, and ultimately leading to a more rapid recovery. (cessspinemumbai.com)
Treatment3
  • The patient refused epidural blood patch (EBP) treatment and was discharged after conservative treatment. (bvsalud.org)
  • Odjaghian Law Group tirelessly developed the medical record, despite significant resistance from defendants, and ultimately was able to establish that Mr. Zhang required lifelong care in a structured living environment as well as treatment in multiple specialties. (odjaghianlaw.com)
  • MVD is regarded as the most long-lasting treatment for trigeminal neuralgia caused by blood vessel compression, and it helps about 80% of people with this diagnosis confirmed by Magnetic Resonance Angiogram (MRA) (2). (newregenortho.com)