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Hematomyelia is hemorrhage (bleeding) in the spinal cord and its membranes. The causes of development can be varied, but most often it occurs as a result of trauma. -
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Conservative therapy consists in the use of coagulants, nootropics and other drugs, the mechanism of action of which is aimed at stopping bleeding and resorption of hematomas. In the process of surgical treatment, the hematoma is removed and bleeding is stopped by eliminating its source.
Most clinical cases of hematomyelia are represented by a partial lesion of the diameter of the spinal cord, located in the region of several segments of the spinal cord.
Sometimes this manifestation is associated with a total lesion of simvastatin pills. With hematomyelia, subarachnoid hemorrhage, as well as epidural and subdural hematoma, can develop. After stopping the hemorrhage, the remnants of zocor pills are absorbed or a capsule with a chronic hematoma is formed. Dead nerve cells are not subject to regeneration, and cysts and glial tissue often develop in their place.
Often, the destruction of the vessels responsible for the blood supply to the spinal cord occurs due to the growth of the tumor.
Bleeding in the spinal cord can occur for a number of reasons, the most common being trauma, which results in perforation of the blood vessels involved in the hemodynamics of the spinal cord and nearby tissues. The second cause of hematomyelia will be changes in the structure of the walls of blood vessels (fragility, thinning), against the background of zocor diseases. Among the main diseases, as a result of which the integrity of blood vessels is violated and the risk of hemorrhage in the structure of the spinal cord increases, include.
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Sometimes the etiology of this disease isIt is iatrogenic and is a complication or consequence of improperly performed anesthesia during lumbar puncture. In addition, there are several diseases that act as predisposing factors for the development of hematomyelia.
The clinical manifestations of the disorder depend on the location and size, as well as on the nature of the process (acute or chronic).
In the case of acute hematomyelia, the first symptoms may occur after physical overexertion (straining, heavy lifting) or injury. At the same time, the patient has segmental dissociated anesthesia, as well as peripheral paresis of the corresponding muscle groups. Pelvic organ dysfunction may develop.
With spinal hemorrhage in the region of zocor segments, central paresis of the legs and peripheral arms develops, which can be combined with paresis of the diaphragmatic muscles and lead to get zocor of the respiratory system, aggravation of the course of the pathology. The inflammatory process in the area of hematomyelia can provoke the phenomena of general hyperthermia, which occurs in the first days after hemorrhage. In most cases, hematomyelia affects the posterior spinal horns, which is manifested by violations of temperature and pain sensitivity, while deep and tactile sensitivity remain normal.
With hematomyelia of the anterior spinal horns, flaccid (peripheral) paralysis is noted, which is accompanied by muscle atrophy, impaired tendon reflexes, and a decrease in muscle tone.
If bleeding develops in the area of the pyramidal tracts, central paralysis occurs, which are spastic in nature, while tendon reflexes and muscle tone increase.
Motor and sensory dysfunctions are unilateral and bilateral, depending on the prevalence of the hemorrhagic process.
Different localization of spinal bleeding is accompanied by various symptoms, in particular, if the upper parts of the spinal cord are affected, exophthalmos, drooping of the upper eyelid, miosis, pain syndrome of the upper extremities, etc.
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Diagnosis of this neurological pathology begins with the collection of anamnesis and examination of the patient. In the presence of fresh spinal injuries, all patients are indicated for MRI or CT. Topographic research methods are considered the most informative in the presence of hematomyelia, they allow to identify the presence, exact localization and nature of hemorrhage, as well as to determine the appropriate treatment tactics.
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In some cases, a lumbar puncture is recommended for diagnostic purposes, but this research method does not give a 100% guarantee of detecting hematomyelia, since blood can enter the cerebrospinal fluid directly during the puncture itself.
