Clinical manifestations are associated with the localization of the pathological process and are represented by sensory, motor dysfunctions, disorders in the functioning of internal organs, neurological symptoms, etc. Causes of hematomyelia Symptoms of hematomyelia Diagnosis of hematomyelia Treatment of hematomyelia Forecast of hematomyelia. Diagnosis of hematomyelia is carried out by MRI of the spinal cord. Therapeutic tactics involves the use of conservative methods of treatment and surgical interventions, depending on the volume of hemorrhage.
During the development of hematomyelia, internal bleeding occurs, in which blood penetrates into the substance of the spinal cord or accumulates in it in the form of a hematoma. The resulting hematoma often has a compressive effect on the spinal structures and roots, resulting in the development of neurological disorders in patients. With the penetration of blood into the substance of the spinal cord, the necrosis of the nervous tissue occurs in the region of the posterior and anterior horns of the spinal cord. In addition, compression of sensory and motor pathways is carried out.
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.
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.
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.
Diagnosis of hematomyelia will necessarily include differential diagnosis, which is performed in order to exclude diseases with similar symptoms (myelopathy, acute myelitis, ischemic spinal stroke, syringomyelia). With hematomyelia, the patient must be hospitalized in a hospital.