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Quick Medical Diagnosis & Treatment
Spinal Trauma
Sections: Key Features, Essentials of Diagnosis, General Considerations, Clinical Findings, Symptoms and Signs, Total cord transection, Lesser degrees of injury, Differential Diagnosis, Diagnosis, Diagnostic Procedures, Treatment, Medications, Surgery, Therapeutic Procedures, Outcome, Follow-Up, Complications, When to Refer, When to Admit, References,
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Topics Discussed: spinal injuries.
Excerpt: | |  Immediate flaccid paralysis and loss of sensation below the level of the lesion
Reflex activity is lost for a variable period; urinary and fecal retention As reflex function returns, spastic paraplegia or quadriplegia develops, with hyperreflexia and extensor plantar responses A flaccid atrophic (lower motor neuron) paralysis may be found depending on the segments of the cord affected The bladder and bowels regain some reflex function, permitting urine and feces to be expelled at intervals As spasticity increases, flexor or extensor spasms (or both) of the legs become troublesome, especially if bed sores or a urinary tract infection develops Paraplegia with the legs in flexion or extension may eventually result |
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