Quadriplegia natural history, complications and prognosis: Difference between revisions

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==Complications<ref>{{cite journal |author=Schurch B, Knapp PA, Jeanmonod D, Rodic B, Rossier AB |title=Does sacral posterior rhizotomy suppress autonomic hyper-reflexia in patients with spinal cord injury? |journal=Br J Urol |volume=81 |issue=1 |pages=73–82 |year=1998 |month=January |pmid=9467480 |url=http://www.urologyjournal.us/studies/sacral-posterior-rhizotomy-hyper-reflexia-spinal-cord-injury.html#6-introduction}}<!-- Reprint?--></ref><ref>[http://www.spinalinjury.net/html/_complications_of_a_spinal_cor.html Spinal cord injury: Possible complications<!-- Bot generated title -->]</ref>==
* [[Bedsore|Pressure sores]]
* [[Osteoporosis]]
* Fractures
* Frozen joints
* [[Spasticity]]
* Respiratory complications and infections
* [[Deep vein thrombosis]]
* [[Autonomic dysreflexia]]
* Cardiovascular  disease
==Prognosis==
==Prognosis==
Delayed diagnosis of cervical spine injury has grave consequences for the victim. About one in 20 cervical fractures are missed and about two-thirds of these patients have further spinal-cord damage as a result. About 30% of cases of delayed diagnosis of cervical spine injury develop permanent neurological deficits. In high-level cervical injuries, total paralysis from the neck can result. High-level tetraplegics (C4 and higher) will likely need constant care and assistance in [[activities of daily living]], such as getting dressed, eating and bowel and bladder care. Low-level tetraplegics (C5 to C7) can often live independently.{{Citation needed|date=August 2009}}
Delayed diagnosis of cervical spine injury has grave consequences for the victim. About one in 20 cervical fractures are missed and about two-thirds of these patients have further spinal-cord damage as a result. About 30% of cases of delayed diagnosis of cervical spine injury develop permanent neurological deficits.
 
Even with "complete" injuries, in some rare cases, through intensive rehabilitation, slight movement can be regained through [[synaptic plasticity|"rewiring" neural connections]], as in the case of the late actor [[Christopher Reeve]].<ref>{{cite news |title=Man of steel — Christopher Reeve talks about life as a quadriplegic |newspaper=[[The Guardian]] |date=September 17, 2002 |url=http://www.guardian.co.uk/g2/story/0,3604,793417,00.html}}</ref>
 
In the case of [[cerebral palsy]], which is caused by damage to the motor cortex either before, during (10%) or after birth and some tetraplegics are gradually able to learn to stand or walk through physical therapy.


==References==
==References==

Latest revision as of 15:04, 22 February 2013

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Complications[1][2]

Prognosis

Delayed diagnosis of cervical spine injury has grave consequences for the victim. About one in 20 cervical fractures are missed and about two-thirds of these patients have further spinal-cord damage as a result. About 30% of cases of delayed diagnosis of cervical spine injury develop permanent neurological deficits.

References

  1. Schurch B, Knapp PA, Jeanmonod D, Rodic B, Rossier AB (1998). "Does sacral posterior rhizotomy suppress autonomic hyper-reflexia in patients with spinal cord injury?". Br J Urol. 81 (1): 73–82. PMID 9467480. Unknown parameter |month= ignored (help)
  2. Spinal cord injury: Possible complications

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