Cervical cord injury and critical care

Critical care and perioperative management in traumatic spinal cord injury.

Traumatic spinal cord injury is frequently associated with brain injury and with alterations in respiratory and cardiovascular function that require critical care management. Complications include respiratory failure, atelectasis, pneumonia, neurogenic shock, autonomic dysreflexia, venous thromboembolism, and sepsis. While complications may be managed with supportive care, the goal of ameliorat...

Injury to the Cervical Cord

Army Medical Staff, Seeuiulerabaci. With reference to the case of fracture-dislocation of 'tlie cervical spinal column reported and commented on in the Gazette of September 1893 by Surgeon-Captain J. C. Vauglmn, the following notes may prove of interest. Private D was admitted to hospital, May 8th, 1893, with complete paralysis and anaesthesia of arms, legs and trunk up to the nipples. He had f...

Bradycardia Secondary to Cervical Spinal Cord Injury

Acute Hydrocephalus Following Cervical Spinal Cord Injury

We present a case of acute hydrocephalus secondary to cervical spinal cord injury in a patient with diffuse ossification of the posterior longitudinal ligament (OPLL). A 75-year-old male patient visited the emergency department with tetraparesis and spinal shock. Imaging studies showed cervical spinal cord injury with hemorrhage and diffuse OPLL from C1 to C4. We performed decompressive laminec...

Intraoperative Sonography of Cervical Spinal Cord Injury:

Intraoperative spinal sonography (lOSS) with a 7.5-MHz sector transducer was performed in 30 patients with cervical spine injury associated with neurologic deficits. A laminectomy (25 patients) or anterior carpectomy (five patients) during spinal surgery provided the lOSS imaging window. The surgery was performed for either spinal decompression or fixation as part of the initial care of these p...