41. Spine And Nerve Center At MGH/Harvard Neurosurgical evaluation of neck and back pain, nerve compression syndromes,herniated intervertebral discs, and spinal cord compression syndromes. http://neurosurgery.mgh.harvard.edu/spine-hp.htm

Massachusetts General Hospital Harvard Medical School Referrals Peripheral Nerve Surgeons Spine Surgeons Evaluation Center ... Spine Links Information on the MGH Nerve Surgery Center Lawrence F. Borges, M.D. Massachusetts General Hospital Fruit Street Boston, Massachusetts 02114 Phone: 617.726.6156 Facsimile: 617.724.7407 Spine (and peripheral nerve entrapment) Evaluation Center MGH Spine Surgeons MGH Developmental Neurosurgery : Spina bifida/myelomenigocele/syrinx/tethered cord information MGH Peripheral Nerve Surgery (carpal tunneland other nerve entrapment syndromes and tumors of peripheral nerves such as neurofibromas) Spine tumor information Non-invasive Proton Beam Radiosurgery of spinal tumors The central neurocytoma of the spine Spinal AVM (arteriovenous malformation or arteriovenous fistula) Links to other information Other information on back and neck pain/injury Spinal cord injury links. Information on Arnold Chiari-Malformation and Syringomyelia Information on repetitive stress injury and other disorders of peripheral nerves including carpal tunnel syndrome Other ergonomics links Spine and Peripheral Nerve Surgery Center Neurosurgical evaluation of neck and back pain, nerve compression syndromes, herniated intervertebral discs, and spinal cord compression syndromes. Information regarding peripheral nerve (including nerve compression such as carpal tunnel syndrome) and spine surgery and the Neurosurgical Service's

42. VERTEBRAL OSTEOCHONDROMA CAUSING SPINAL CORD COMPRESSION - ( VERTEBRAL OSTEOCHONDROMA CAUSING spinal cord compression (Report of TwoCases). Such involvement may contribute to spinal cord compression. http://www.bhj.org/journal/1996/3801_jan/case_195.htm

43. Alberta Palliative Network A Caregivers Guide Spinal Cord spinal cord compression means the spinal cord is being squeezed. It is usuallycaused by a tumour pressing on the spinal cord. spinal cord compression. http://www.albertapalliative.net/APN/CGG/28SpinalCord.html

PALLIATIVE CARE AND A CAREGIVERS GUIDE PUBLICATION COMMITTEE ACKNOWLEDGEMENTS DEVELOPMENT OF A CAREGIVERS GUIDE ... CARE OF PHYSICAL PROBLEMS COMPLICATIONS THAT MIGHT HAPPEN Complications From Pain Medication Spinal Cord Compression Superior Vena Cava Syndrome Convulsions (SEIZURES) ... INSERTING AND REMOVING SUBCUTANEOUS NEEDLE Spinal Cord Compression Spinal cord compression means the spinal cord is being squeezed. It is usually caused by a tumour pressing on the spinal cord. If left untreated, it can paralyze. What you need to know About five per cent of people with cancer will develop a cord compression. The most common types of cancer to cause this problem are lung, breast, prostate, multiple myeloma and renal cell. • The first sign of cord compression is back pain. Palliative Care Association of Alberta Palliative Care Handbook A Caregivers Guide PallCare Ednet Project ... Home Our site has been optimized for browsers and Adobe Acrobat Reader versions 4.0 and higher . . We subscribe to the HONcode principles of the Health On the Net Foundation.

44. Spinal Cord Compression - HealthBoards Bulletin Board He said the heaviness was due to the spinal cord compression and the onlyway to bring relief was surgery. I had the surgery the following week. http://www.healthboards.com/ubb/Forum113/HTML/000935.html

Click Here to Visit our Sponsor FREE HealthBoards.com info from vendors! Select: Signup Spinal Cord Disorders - new products and services Aging Alternative Medicine Back Care Beauty Free Stuff Health Products Herbal Products Natural Healing Nutrition Pain Mgmt Quit Smoking Sexuality Skin Care Stress Mgmt Viagra Vitamins Weight Loss Yoga Many more topics available! Enter your email address: Enter your zip/postal code: HealthBoards Bulletin Board Spinal Cord Disorders Spinal Cord Compression profile register preferences faq ... next oldest topic Author Member Posts: 30 From:USA Registered: Dec 2002 posted 01-17-2003 10:27 PM What I don't understand is why I have to keep getting more and more tests when we already know whats wrong. The weakness is getting worse - to the point where I don't know if I can keep my job. It feels like there is lead in my legs. Is there anyone else out there with cervical disc herniations experiencing weakness in their legs? Thanks in advance for your advise. Renee IP: Logged Senior Member Posts: 189 From:Middletown, MD

45. Spinal Cord Compression spinal cord compression. Mechanical injury Ischemia.Return to uscneurosurgery.com Homepage. http://uscneurosurgery.com/glossary/s/spinal cord compression.htm

Spinal cord compression Mechanical injury Ischemia Return to uscneurosurgery.com Homepage

46. USC Neurosurgery Management Protocols Cervical Disc Library. USC Neurosurgery Management Protocols. spinal cord compression. Head injury. Spinalcord compression. Ventriculoperitoneal shunt obstruction/infection. http://uscneurosurgery.com/library/protocols/protocols/uscneurosurgery protocols

Library USC Neurosurgery Management Protocols Spinal cord compression Head injury Subarachnoid hemorrhage/Cerebral aneurysm Spinal cord compression Ventriculoperitoneal shunt obstruction/infection ... USC Neurosurgery com homepage

47. STARToncology 1.1 Incidence spinal cord compression from epidural metastases is the mostcommon neurological complication of cancer after brain metastases. http://www.startoncology.net/viewStart.asp?Id=53

48. The Spinal Cord Extrinsic compression Extrinsic spinal cord compression from neoplasms or othermasses affects the spinal cord by direct compression and by interference with http://www.medinfo.ufl.edu/year2/neuro/review/sp.html

Return to Neuro Home Page Return to Review Index The Spinal Cord The Brain Stem And Cerebellum The Diencephalon The Basal Ganglia The Cerebral Cortex ... The Peripheral Nervous System, Neuromuscular Junction, and Muscle The spinal cord is the simplest portion of the central nervous system, with the same general structure (with variations that we will ignore) at every segmental level. Anatomy It is important to understand the distinction between segmental and long tract findings. The segmental level: At each segment, sensory neurons contained in a dorsal root enter the spinal cord. The territory of skin innervated by a segment (for example, C6) is called a dermatome. Motor neuron cell bodies are located in the anterior horns; for each segment, their axons collect to form an anterior spinal root, and project (via plexus and peripheral nerves) to groups of muscles (the myotome). Large sensory fibers from muscle spindles enter at each level and synapse with motor neurons that project to the same muscle. The monosynaptic stretch reflex arc is an important aspect of segmental organization. Long tracts: of the 10 or more long fiber tracts coursing longitudinally in the spinal cord, only three are of prime importance in clinical practice:(

49. ASB: MECHANISMS IN SPINAL CORD INJURY Figure 1 Effect of Cord Compression on Motor Responses. Figure 2 65%spinal cord compression (Typical). REFERENCES. McNeice GM et al. http://asb-biomech.org/onlineabs/abstracts96/mcneice.html

AMERICAN SOCIETY OF BIOMECHANICS Presented at the 20th Annual Meeting of the American Society of Biomechanics Atlanta, Georgia. October 17-19, 1996 COMPONENT MECHANISMS IN SPINAL CORD INJURY - AN ANIMAL MODEL FOR DRUG TREATMENT PROTOCOLS - G.M. McNeice (1), W.A. Lee (1), K.C. Lennon (1), C.D. Riddle (1), R.L. Ferguson (1), M. LaBerge (2) (2) GHS/Clemson University Biomedical Cooperative, Greenville, S.C. 29605, USA INTRODUCTION Spinal cord injury models continue to be used to study the pathophysiology of injury and the potential of various therapeutic treatments. Recent NIH (Young et. al., 1995) supported studies have aimed at standardizing the impact trauma to the cord in the rat model. The present authors have discussed some potential errors inherent in the NYU proposed model (McNeice et. al., 1994, 1995) and introduced a refined rat model using a miniature accelerometer that allows the biomechanics of the impact to be established. The NYU model excludes the effect of cord compression on the neurologic deficit, a factor often seen in human injuries. The present study demonstrates the successful application of this refined model to drug therapy of the impacted cord as well as introduces an extension of the model to include the effects of cord compression. Compression levels of 65% and 85% are demonstrated. REVIEW AND THEORY MODEL AND PROCEDURES In this ongoing study the authors have established an animal model that will address the following component mechanisms of spinal cord injury:

50. Nature Publishing Group Article. Systemic hypothermia following spinal cord compression injury in the rataxonal changes studied by APP, ubiquitin, and PGP 9.5 immunohistochemistry. http://www.nature.com/cgi-taf/DynaPage.taf?file=/sc/journal/v37/n10/abs/3100920a

51. Nature Publishing Group a Author for correspondence. Abstract. This study was conducted toinduce chronic spinal cord compression myelopathy in rabbits. The http://www.nature.com/cgi-taf/DynaPage.taf?file=/sc/journal/v35/n11/abs/3100533a

52. Cancer - Spinal Cord Compression Risk Predictable In Prostate Cancer Patients spinal cord compression Risk Predictable In Prostate Cancer Patients.WESTPORT, CT Aug 10 (Reuters Health) Patients with metastatic http://www.cancerpage.com/cancernews/cancernews3167.htm

Spinal Cord Compression Risk Predictable In Prostate Cancer Patients WESTPORT, CT Aug 10 (Reuters Health) - Patients with metastatic prostate cancer who are at high risk for occult subarachnoid space or spinal cord (SAS/SC) compression can be identified using clinical parameters and currently available diagnostic tests. Dr. Michael Milosevic and colleagues from the Princess Margaret Hospital in Toronto and the University of Toronto prospectively studied 68 prostate cancer patients with bone metastases and normal neurologic exams to identify clinical, X-ray, and bone scan parameters that predict occult SAS/SC compression, as determined by MRI. Twenty-two patients (32%) were diagnosed with occult SAS/SC compression using MRI, according to the report in the July 15th issue of Cancer . Compressions at two discontinuous spinal levels were observed in nine patients (13%). "The extent of disease on bone scan and the duration of continuous hormonal therapy were independent predictors of SAS/SC compression by multivariate analysis (p = 0.02 and p = 0.04, respectively)," the investigators report. As the duration of continuous hormonal treatment increased from to 24 months, patients with bone

53. EMedicine - Neoplasms, Spinal Cord : Article Excerpt By: J Stephen Huff, MD not actually spinal cord tumors, they are included in this discussion because vertebralmetastases cause 85% of the cases of spinal cord compression, and the http://www.emedicine.com/emerg/byname/neoplasms-spinal-cord.htm

(advertisement) Excerpt from Neoplasms, Spinal Cord Please click here to view the full topic text: Neoplasms, Spinal Cord Background: Neoplastic disease involving the spine and spinal cord is a true neurologic emergency and may be devastating if unrecognized. Primary spinal cord tumors arise from different elements of the CNS, including neurons, supporting glial cells, and meninges. Anatomically, neoplasms of the spinal cord may be classified according to the compartment of origin, either intramedullary (inside the cord) or extramedullary (outside the cord). Additionally, tumors emanating from the surrounding meninges or cancers that metastasize to the vertebrae or surrounding tissues may cause epidural cord compression. Although metastatic lesions are not actually spinal cord tumors, they are included in this discussion because vertebral metastases cause 85% of the cases of spinal cord compression, and the clinical presentation tends to be indistinguishable from that of primary cancer of the spinal cord. For the emergency physician, the cell origin of the tumor is less of a concern than the consequent syndromes of spinal cord dysfunction.

54. Spinal Cord Compression spinal cord compression An experimental study in the rat. Chow SP, FurumachiK, Bruce I 1 , Ip WY. 1 Department of Physiology, The University of Hong Kong. http://www.hku.hk/ortho/ortho/abstract/abstract1999/abstract99/abst401.htm

Spinal cord compression - An experimental study in the rat Chow SP , Furumachi K, Bruce I , Ip WY Department of Physiology, The University of Hong Kong A model of multiple level spinal cord compression in the rat was set up with a dorsal screw inserted through the lamina up to 40% of encroachment of the sagittal diameter. Three groups of rats (6 in each group) were operated on with Group A : Single level compression at T, as control

55. Spinal Cord Compression By Heterotopic Ossification Associated spinal cord compression by heterotopic ossification associated withpseudohypoparathyroidism. J Int Med Res. 1997 NovDec;25(6)364 http://www.aegis.com/pubs/aidsline/1998/apr/M9841753.html

Spinal cord compression by heterotopic ossification associated with pseudohypoparathyroidism. J Int Med Res. 1997 Nov-Dec;25(6):364-8. Unique Identifier : AIDSLINE MED/98088609 Yamamoto Y; Noto Y; Saito M; Ichizen H; Kida H; Department of Internal Medicine, Kanazawa National Hospital, Japan. Abstract: Keywords: *Ossification, Heterotopic/COMPLICATIONS *Pseudohypoparathyroidism/COMPLICATIONS *Spinal Cord Compression/COMPLICATIONS Boehringer Ingelheim iMetrikus, Inc. John M. Lloyd Foundation , the National Library of Medicine , and donations from users like you. Always watch for outdated information. This article first appeared in 1998. This material is designed to support, not replace, the relationship that exists between you and your doctor.

56. Management Of Pain And Spinal Cord..., Annals 6 Jul 99 Management of Pain and spinal cord compression in Patients with AdvancedCancer. Corticosteroid Therapy for Malignant spinal cord compression. http://www.acponline.org/ethics/abrahm.htm

About the Center Ethics Manual Additional Policy Statements Ethics Case Studies ... Annual Session Ethics Program End-of-Life Care About the Panel Physician Education Patient Education Managed Care Ethics About the Work Group Statement of Principles Annotated Bibliography Resources Internal Policy Additional Bioethics Resources Books Contact Us ... Email this page Management of Pain and Spinal Cord Compression in Patients with Advanced Cancer Janet L. Abrahm, MD, for the ACP-ASIM End-of-Life Care Consensus Panel Ann Intern Med 1999;131:37-46. Annals of Internal Medicine This paper was written by Janet Abrahm, MD, and was developed for the American College of Physicians-American Society of Internal Medicine (ACP-ASIM) End-of-Life Care Consensus Panel. Members of the ACP-ASIM End-of-Life Care Consensus Panel were Bernard Lo, MD ( Chair ); Janet Abrahm, MD; Susan Block, MD; William Breitbart, MD; Ira R. Byock, MD; Kathy Faber-Langendoen, MD; Lloyd W. Kitchens Jr., MD; Paul Lanken, MD; Joanne Lynn, MD; Diane Meier, MD; Timothy E. Quill, MD; George Thibault, MD; and James Tulsky, MD. Primary staff to the Panel were Lois Snyder, JD ( Project Director ); Jason Karlawish, MD; and Karine Morin, LLM. This paper was reviewed and approved by the Ethics and Human Rights Committee and the Education Committee, although it does not represent official ACP-ASIM policy. Members of the Ethics and Human Rights Committee were Risa Lavizzo-Mourey, MD (

57. Florida State University College Of Medicine Digital Library spinal cord compression Clinical Resources. spinal cord compression Listof documents; Back Pain List of documents; Back List of documents. http://fsumed-dl.slis.ua.edu/clinical/orthopedics/spinal-cord-compression.htm

Clinical Resources by Topic: Orthopedics Spinal Cord Compression Clinical Resources Emergency Radiology Clinical Guidelines Clinical Trials ... Miscellaneous Resources See also: Musculoskeletal Clinical Procedure Resources General Orthopedics Clinical Resources Spinal Cord Compression Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Medical Library subscription INFO Chapter 16: Back and Neck Pain Table of contents Introduction: Access document Anatomy of the Spine: Access document Approach to the Patient: Access document Pain in the Neck and Shoulder: Access document Other Causes of Neck Pain: Access document Chapter 368: Diseases of the Spinal Cord Table of contents Introduction: Access document Approach to the Patient: Access document Chronic Myelopathies: Access document Spondylitic Myelopathy: Access document Chapter 369: Traumatic Injuries of the Head and Spine Table of contents Introduction: Access document Spinal Cord Trauma: Access document Introduction Access document Pathophysiology and Pathology of Spinal Cord Injury: Access document Management of Spinal Cord Injury Syndromes: Access document Chapter 370: Primary and Metastatic Tumors of the Nervous System Table of contents Introduction: Access document Malignant Spinal Cord Compression: Access document Canale: Campbell's Operative Orthopaedics 9th Ed.-1998 (MD Consult):

58. Florida State University College Of Medicine Digital Library spinal cord compression Patient/Family Resources. See also General OrthopedicsPatient/Family Resources; spinal cord compression Clinical Resources. http://fsumed-dl.slis.ua.edu/patientinfo/orthopedics/back/spinal-cord-compressio

Patient/Family Resources by Topic: Orthopedics Spinal Cord Compression Patient/Family Resources Pediatrics Spanish Miscellaneous See also: General Orthopedics Patient/Family Resources Spinal Cord Compression Clinical Resources MD Consult: Homepage Medical Library subscription INFO Patient Handouts Table of content Compression Fracture of the Vertebrae: Access document Low Back Pain: Access document Image Low Back Pain (Brief Version): English Spanish Image American Association of Neurological Surgeons: Homepage Patient Resources: List of documents Spinal Cord: Access document American Academy of Family Physicians (familydoctor.org): Homepage Self Care Flowcharts: List of documents Lower Back Pain: Access document MEDLINEPlus and the Patient Education Institute: Homepage Interactive Health Tutorials: Table of contents Back Pain: Table of contents (Flash Plug-in Required) MEDLINE plus Medical Encyclopedia: Table of contents Compression Fractures of the Back: English Spanish Spinal Cord Trauma: English Spanish Merck Manual Home Edition Table of contents Chapter 69. Spinal Cord Disorders:

59. Spinal Cord Compression - General Practice Notebook medical information from General Practice Notebook. spinal cord compression.spinal cord compression is characterised by a combination http://www.gpnotebook.co.uk/cache/1020264459.htm

spinal cord compression Spinal cord compression is characterised by a combination of a progressive history of neurological deficit and a sensory level on examination. This is a lesion that causes lower motor neurone signs at the level of the lesion and upper motor neurone lesions below that level. It is a neurological emergency because: the final events are ischaemic, so they are fast and irreversible the patient may be left in a wheelchair, incontinent of urine Note that the commonest cause of acute cord compression is metastatic disease. Click here for more information...

60. Trauma Case Study: Spinal Cord Compression Trauma Case Study spinal cord compression. Due February 27, 2003.Name. T. is a 34year http://www2.hutchcc.edu/Dept/allied_health/nursing/Trauma Case Study.htm

Trauma Case Study: Spinal Cord Compression Due February 27, 2003 Name: T. is a 34-year-old woman who has been thrown from a galloping horse in a remote area. She was flown to the trauma center by helicopter from a rural hospital with spinal cord compression due to spinal fracture and disk fragments in her lumbar spine. Her cervical spine is free from injury. She arrives strapped to a rigid backboard and begins to vomit. What would you do to keep T. from aspirating? What would you do to assess T.? You find that T. is hypotensive and bradycardic. She has an IV of 1000 mL LR with a large-bore catheter at 75 ml/h. What is causing the hypotension and bradycardia? The neurosurgeon arrives in the ED and examines T. He finds her areflexic below the lumbar region of the spinal cord. There is absence of sweating in the region, and no sensation below the level of the lesion. He writes the following orders: CT scan of the spine; myelogram; prepare for surgery; admit ti ICU; 10 mg dexamethasone (Decadron) IV now. Why did the physician order both a CT scan and a myelogram?

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