Myelitis - inflammation of the spinal cord, which in most cases is localized in the sacral and lumbar.In this disease, the inflammatory process affects the gray and white matter of the spinal cord, most of it across, membranes and roots.Also, the disease is usually accompanied by a significant weakening of the trophic, motor and sensory functions.Often inflammation of the spinal cord is observed in parallel with meningomielitom (inflammation of the lining of the spinal cord), so due to the fact that these states between them are very similar, can be difficult to establish the exact geography of inflammation
Allocate trauma, intoxication andInfectious myelitis.Infections are most common.Approximately 20 - 40% of reported cases of transverse myelitis, it is of viral origin;pathogens may be viruses, cytomegalovirus, herpes simplex , measles , herpes zoster, hepatitis A and B, mumps, Coxsackie, rubella, and so on. Also, the occurrence of the disease is poss
appears malaise and chills, body temperature rises to 38 - 39 * C in the backand chest pain appears reasonable, there is tingling fingertips.At the end of one to three days after onset of the disease appears neuralgic symptoms.
When lumbar myelitis appear peripheral paresis, paralysis of the lower limbs, absent tendon reflexes (knee and Achilles tendon).There is fecal incontinence and urine.When thoracic myelitis observed spastic paralysis of the legs, urinary retention and fecal incontinence.At the top of the myelitis of the cervical observed respiratory failure and paralysis of the legs and arms.In the blood, there is an increase of ESR and leukocytosis, and in cerebrospinal fluid increase in protein content.
In most cases, the illness passes after a few weeks, but the recovery period can last from one to two years: the function of the pelvic organs to normal faster, and physical activity is recovering more slowly
treatment of all types of myelitis always starts withapplication of broad-spectrum antibiotics, and at sufficiently high dosages.To reduce pain and the presence of high temperature is used antipyretics.When myelitis associated with diffuse disease of connective tissue, as well as a viral form is a hormone therapy.If bottom-up process, as well as in the event of respiratory failure, necessary to carry out artificial respiration.
After the acute phase, further treatment is advantageously carried out in a specialized spinal ward, which may conduct electrical stimulation of the bladder, the earlier the treatment of disorders of the pelvic organs, and so forth.
forecast later in life is very serious, especially in cases of completespinal cord lesion diameter (mortality reaches 30%).There may be persistent residual paresis and paralysis, sphincter dysfunction and disorders of sensation.
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