Elimination Concerns with Acute Spinal Cord Trauma: Assessment and Nursing Interventions

Secondary injury following initial spinal cord trauma is uncommon and frequently attributed to mismanagement of an unprotected cord in the acute time period after injury. Subacute posttraumatic ascending myelopathy (SPAM) is a rare occurrence in the days to weeks following an initial spinal cord injury that is unrelated to manipulation of an unprotected cord and involves 4 or more vertebral levels above the original injury. The authors present a case of SPAM occurring in a 15-year-old boy who sustained a T3–4 fracture-dislocation resulting in a complete spinal cord injury, and they highlight the imaging findings and optimum treatment for this rare event.

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Assessment of the neuroprotective effects of the acetylcholinesterase inhibitor huperzine A in an experimental spinal cord trauma model

Journal of Neurosurgical Sciences ◽

10.23736/s0390-5616.16.03428-7 ◽

2018 ◽

Vol 62 (2) ◽

Author(s):

Veysel Antar ◽

Oguz Baran ◽

Sahin Yuceli ◽

Hakan Erdogan ◽

Ozge Altintas ◽

...

Keyword(s):

Spinal Cord ◽

Acetylcholinesterase Inhibitor ◽

Huperzine A ◽

Spinal Cord Trauma ◽

Neuroprotective Effects ◽

Trauma Model

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Aspects of neurological decompression illness: A view from Bethesda

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-81-120 ◽

1995 ◽

Vol 81 (2) ◽

pp. 120-126

Author(s):

J R Broome

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Drug Therapy ◽

Potential Application ◽

Oxygen Therapy ◽

Spinal Cord Trauma ◽

Decompression Illness ◽

Cord Injury ◽

Similarities And Differences

AbstractA minority of divers with neurological decompression illness (DCI) fail to improve with recompression treatment. This is particularly seen in cases where features of severe spinal cord injury develop soon after surfacing. Haemorrhage into the spinal cord is implicated in the pathogenesis of these cases, and evidence is presented that supports the view that the bleeding coincides with shrinkage of autochthonous bubbles. The role ofhyperbaric oxygen therapy in the treatment of spinal cord DCI is discussed with reference to posssible benefit in ischaernia-reperfusion (I-R) injury. Similarities and differences between thetissue injury of dysbaric and conventional spinal cord injury are outlined. The implications of advances in drug therapy for conventional spinal cord trauma are considered in the context of their potential application to treat neurological DCI.

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