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    Cord Compression - Patho2

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    PrincessDianne
    This document summarizes the case of a 65-year-old male patient who fell and hit his head. MRI scans showed cervical and lumbar disc bulges and hematomas compressing the spinal cord. He presented with decreased motor function and sensation below the waist, urinary incontinence, and hypotension. His condition was diagnosed as acute spinal cord compression from traumatic disc herniations, likely caused by the fall, leading to hypoxic injury of the spinal cord and associated symptoms.

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    Cord Compression - Patho2

    Uploaded by

    PrincessDianne
    17 views6 pages
    This document summarizes the case of a 65-year-old male patient who fell and hit his head. MRI scans showed cervical and lumbar disc bulges and hematomas compressing the spinal cord. He presented with decreased motor function and sensation below the waist, urinary incontinence, and hypotension. His condition was diagnosed as acute spinal cord compression from traumatic disc herniations, likely caused by the fall, leading to hypoxic injury of the spinal cord and associated symptoms.

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    cord compression.patho2

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    This document summarizes the case of a 65-year-old male patient who fell and hit his head. MRI scans showed cervical and lumbar disc bulges and hematomas compressing the spinal cord. He presented with decreased motor function and sensation below the waist, urinary incontinence, and hypotension. His condition was diagnosed as acute spinal cord compression from traumatic disc herniations, likely caused by the fall, leading to hypoxic injury of the spinal cord and associated symptoms.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views6 pages

    Cord Compression - Patho2

    Uploaded by

    PrincessDianne
    This document summarizes the case of a 65-year-old male patient who fell and hit his head. MRI scans showed cervical and lumbar disc bulges and hematomas compressing the spinal cord. He presented with decreased motor function and sensation below the waist, urinary incontinence, and hypotension. His condition was diagnosed as acute spinal cord compression from traumatic disc herniations, likely caused by the fall, leading to hypoxic injury of the spinal cord and associated symptoms.

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    PREDISPOSING FACTORS PRECIPITATING FACTORS

    - AGE: 65 YR. OLD - Px (PAT KUMAR) FELL BACK


    - GENDER: MALE ON HIS HEAD
    - Hx OF ILLNES: DM,
    IHD, HPN, HERPES
    ZOSTER

    INSULIN DEPRIVATION AGING ETIOLOGY:


    TRAUMA

    INCREASE ENTRY OF SPINAL DEGENERATION


    GLUCOSE INTO
    INSULIN DEPENDENT MECHANISM OF
    CELLS INTERVERTEBRAL INJURY: FLEXION-
    DISC LOSE HYDRATION AND ELASTICITY EXTENSION
    358
    mg/dL HYPERGLYCEMIA
    RBS
    DISK SUBSEQUENTLY BURSTING OF BLOOD
    COLLAPSE VESSEL

    MRI W/ CONTRAST WHOLE


    WATER GLYCOSURIA SPINE:
    LOSS EPIDURAL CERVICAL HEMORRHAGE
    MRI SCAN CERVICAL & LUMBAR HEMATOMA
    C3/C4: DIFFUSE DISC BULGE CAUSING HEMATOMA FROM C4-7 IN
    (POLYURIA) BILATERAL MILD NEURAL FORAMINAL THE LEFT SIDE
    STENOSIS
    C4/C5: DIFFUSE DISC BULGE MAINLY EPIDURAL LESION
    POSTERIORLY AND TO THE RIGHT SIDE MEASURING ABOUT 1X
    W/ MILD NEURAL FORAMINAL
    STENOSIS ON THE R. SIDE
    0.5X7CM IN AP NEUTROPHILS
    C5/C6: DIFFUSE DISC BULGE CAUSING
    SALT LOSS BILATERAL MILD NEURAL FORAMINAL
    STENOSIS
    C6/C7 DIFFUSE DISC BULGE MAINLY
    POSTERIORLY AND TO THE R. SIDE W/
    MILD NEURAL FORAMINAL STENOSIS
    ON THE R. SIDE ACUTE SPINAL CORD
    L2-L3 MILD BULGE W/ NO SIGNIFICANT
    F.S.
    COMPRESSION
    L3-L4/L4-L5/L5-L6 BILATERAL DISC
    BULGE CAUSIN BILATERAL NEURAL F.S.
    CT SPINE LUMBAR & CT SPINE
    CERVICAL
    DECREASE
    BLOOD VOLUME CT CERVICAL: STRAIGHTENING OF
    THE C. SPINE
    VASOSPASM
    SEVERE NARROWING FOUND IN I.D
    AT LEVEL C5-C6
    MILD INDENTATION TO THE
    CERVICAL CORD AT THE LEVEL OF
    C4 C5 DECREASE SPINAL
    HEMOCONCE CORD BLOOD FLOW
    CT LUMBAR SPINE: STRAIGTHENING
    NTRATION OF THE LUMBAR SPINE
    DIFFISUE DISC SPACE BULGE AT
    LEVEL L3-L4/L4-L5/L5-S1
    UNREMARKABLE SACROILIAC JOINT

    SEVERE SPONYLOSIS
    POOR DIFFUSE DISC BULGE NOTED AT L3-
    L4, L4-L5 AND L5-S1
    TISSUE
    PERFUSIO
    N URINARY
    INCONTINENCE

    MENTAL STATUS MOTOR CEREBELLAR SENSATION REFLEXES


    NECROTIC
    TOE
    INITIAL: ABNORMAL; DECREASE
    GCS SCORE: POWER: 1/5 IN LEFT LOWER CAN’T WALK SENSATION
    CONSCIOU
    13/15 LIMB HYPO-
    S, IN THE LEFT
    POWER: 1/5 LEFT ARM AND REFLEXIA
    ORIENTED, EYE OPENING: 4 SIDE
    3/5 RIGHT ARM
    SLIGHTLY VERBAL: 4 LOWER LIMB WEAKNESS
    DROWSY MOTOR: 5 WITH LEFT ARM 3/10 PAIN
    PROBLEMS SCALE
    FOLLOW UP:
    IN THE POWER R. SIDE ARM: 5/5
    CIRCULATIO LEG 3/5 IN KNEE AND HIP
    N FLEXION
    DECREASE LEVEL OF
    LEFT SIDE: DORSOFLEXION
    CONSCIOUSNESS
    1/5
    PLANTAR FLEXION 2/5
    KNEE EXTENSION 0/5
    HIP FLEION EXTENSION 0/5
    HAND GRIP 1/5
    ELBOW FLEXION EXTENSION
    0/5
    SHOULDER ABDUCTION 5/5
    DECREASE BACTERIAL INFECTION
    CARDIAC IN THE URINARY
    OUTPUT TRACT

    ENDOTHELIAL CELL
    DAMAGE
    BP: 90/50
    mmHg

    ACTIVATES CNS AND


    ENDOCRINE SYSTEM

    MALDISTRIBUTION OF
    CIRCULATING BLOOD
    VOLUME

    INITIAL SPO2
    89%

    DECREASE FOLLOW UP:


    CELLELULAR SUPPLY 97%

    INCREASE O2
    DEMAND TISSUE HYPOXIA HYPOXIA

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