7 results match your criteria Spinal Cord Injury - Definition Epidemiology Pathophysiology

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Degenerative cervical myelopathy - update and future directions.

Nat Rev Neurol 2020 02 23;16(2):108-124. Epub 2020 Jan 23.

Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada.

Degenerative cervical myelopathy (DCM) is the leading cause of spinal cord dysfunction in adults worldwide. DCM encompasses various acquired (age-related) and congenital pathologies related to degeneration of the cervical spinal column, including hypertrophy and/or calcification of the ligaments, intervertebral discs and osseous tissues. These pathologies narrow the spinal canal, leading to chronic spinal cord compression and disability. Read More

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February 2020

Diagnostic Accuracy of Neuromonitoring for Identification of New Neurologic Deficits in Pediatric Spinal Fusion Surgery.

Anesth Analg 2016 12;123(6):1556-1566

From the Department of Anesthesiology, Children's Hospital of Eastern Ontario, University of Ottawa, Ontario, Canada.

Background: Intraoperative neuromonitoring (IONM) modalities, transcranial motor-evoked potentials (TcMEPs), and somatosensory-evoked potentials (SSEPs) are accepted methods to identify impending spinal cord injury during spinal fusion surgery. Debate exists over sensitivity and specificity of these modalities. Our purpose was to measure the incidence of new neurologic deficits (NNDs) and estimate sensitivity and specificity of IONM modalities. Read More

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December 2016

[Cervical spine instability: point of view of the anesthesiologist].

Rev Esp Anestesiol Reanim 2014 Jan 17;61(1):28-34. Epub 2013 Jun 17.

Anestesiología & Reanimación, Universidad de Cartagena, Cartagena, Colombia.

The experience in airway management permits the anesthesiologist to participate in cases of cervical spine instability in the operating room when the patient is subjected to surgical procedures, or in cases of difficulty to access or keep the airway open in emergencies. This article reviews the epidemiology, definition, etiology, diagnostic criteria, methods of approach to airway management, and current recommendations on handling cervical instability in different scenarios. There is no approach to the airway that ensures complete immobility of the cervical spine, but there are methods that are better adapted to specific contexts; at the end, the reader will be able to identify the virtues and defects of the various options that the anesthesiologists have to address the airway in cases of cervical instability. Read More

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January 2014

An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association.

Stroke 2013 Jul 7;44(7):2064-89. Epub 2013 May 7.

Despite the global impact and advances in understanding the pathophysiology of cerebrovascular diseases, the term "stroke" is not consistently defined in clinical practice, in clinical research, or in assessments of the public health. The classic definition is mainly clinical and does not account for advances in science and technology. The Stroke Council of the American Heart Association/American Stroke Association convened a writing group to develop an expert consensus document for an updated definition of stroke for the 21st century. Read More

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Sarcopenia or muscle modifications in neurologic diseases: a lexical or patophysiological difference?

Eur J Phys Rehabil Med 2013 Feb;49(1):119-30

Unit of Neuropsychology and Neurorehabilitation, Lausanne University Hospital (CHUV), Lausanne, Switzerland.

Sarcopenia is a condition characterized by a decrease in muscle mass and function (strength and mobility) that is frequently observed in the elderly. In people with paresis and altered mobility due to central nervous system (CNS) diseases, this definition then may not be applicable. In CNS diseases, mainly stroke and spinal cord injury, different and specific patterns of muscle loss and muscle changes have been described, due to denervation, disuse atrophy, spasticity and myosteatosis. Read More

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February 2013

Cervical spondylotic myelopathy: the clinical phenomenon and the current pathobiology of an increasingly prevalent and devastating disorder.

Neuroscientist 2013 Aug 30;19(4):409-21. Epub 2012 Nov 30.

Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.

Cervical spondylotic myelopathy (CSM) is a common disorder involving chronic progressive compression of the cervical spinal cord due to degenerative disc disease, spondylosis, or other degenerative pathology. CSM is the most common form of spinal cord impairment and causes functional decline leading to reduced independence and quality of life. Despite a sound understanding of the disease process, clinical presentation and management, a universal definition of CSM and a standardized index of severity are not currently used universally. Read More

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Obesity after spinal cord injury.

David R Gater

Phys Med Rehabil Clin N Am 2007 May;18(2):333-51, vii

Spinal Cord Injury and Disorders Center, Hunter Holmes McGuire VAMC (652/128), 1201 Broad Rock Boulevard, Richmond, VA 23249, USA.

America is in the midst of an obesity epidemic, and individuals who have spinal cord injury (SCI) are perhaps at greater risk than any other segment of the population. Recent changes in the way obesity has been defined have lulled SCI practitioners into a false sense of security about the health of their patients regarding the dangers of obesity and its sequelae. This article defines and uses a definition of obesity that is more relevant to persons who have SCI, reviews the physiology of adipose tissue, and discusses aspects of heredity and environment that contribute to obesity in SCI. Read More

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