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Cerebral palsy is a chronic disease of the spinal cord that can cause many dangerous and even life-threatening complications.1. What is hollow marrow disease?
Osteoporosis is a chronic disease of the spinal cord, which occurs when a segment of the spinal cord forms a hollow in the center of the gray matter containing cerebrospinal fluid. Cerebrospinal fluid accumulates, forms cavities or cysts, grows larger, presses on the nerves connecting the brain to other parts of the body, damaging the spinal cord. Clinical manifestations of the disease are disorders of movement, sensation and nutrition.There are many ways to classify hollow marrow diseases such as:
According to clinical form: lateral horn, anterior horn, mixed, medulla oblongata; According to the development of the disease: Empty brain stem, spine, brain stem - spinal cord; According to the disease process: Stable, slowly progressing, rapidly progressing; According to the causes and pathogenesis of the family c: Idiopathic, with etiology (congenital spine malformation, occipital neck malformation, associated with hydrocephalus, post-traumatic, lumbar spondylitis, posterior fossa cyst, ...).
2. Causes of empty marrow disease
Up to now, the cause of empty spinal cord disease is still unknown. However, the disease may be caused by an obstructed or disturbed cerebrospinal fluid circulation. This can create an abnormal cavity filled with fluid in the spinal cord.
Some risk factors for myeloproliferative disease include:
Meningitis or bleeding that blocks the cerebrospinal fluid; Due to Chiari deformity and birth trauma; Due to tumors of the spinal cord such as hemangiomas, gliomas; Heredity; The prevalence of myeloproliferative disease is higher in men than in women; People who often participate in activities that cause stress and put pressure on the neck area; People who often perform back bends or tilt their heads back after many times, for a long time; People receiving lumbar puncture or epidural anesthesia; People who use foods containing too much salt, especially women in the perimenopausal period.
Đến nay, vẫn chưa xác định rõ nguyên nhân gây bệnh rỗng tủy sống
3. Symptoms of empty marrow disease
The disease usually has a slow onset of months to years and often occurs after some trauma. Depending on the location of the hollow pulp, the patient will have different symptoms. Patients have symptoms such as:
Cough, often feel tension Neck, shoulder, arm and hand muscle weakness, muscle atrophy, loss of tendon reflexes; Sometimes the patient loses heat or cold sensation or pain, especially in the hands; Pain and stiffness in the nape, neck, shoulders, arms and legs; Urinary and defecation disorders; It feels like a needle is pricking from the body to the foot. Osteoporosis is a dangerous disease. The disease is long-lasting, which can lead to disability in the affected organs. When the marrow cavity spreads to the brain (cerebrospinal cephalopathy), it can cause serious, life-threatening disorders.
4. Diagnosis of empty spinal cord disease
To make a diagnosis, the doctor will first ask about the patient's medical history and do a complete physical exam. If hollow marrow disease is suspected, the patient will be assigned to perform the following tests:
Magnetic resonance imaging of the spine and spinal cord: The most accurate method for diagnosing the disease. Magnetic resonance imaging (MRI) uses electromagnetic waves and a strong magnetic field to create detailed images of the spine and spinal cord. If there is a cyst inside the spinal cord, the doctor will find it. In some cases, the doctor will inject contrast material into a blood vessel in the patient's groin, which travels through the blood vessel to the spine and shows an image of a tumor (or other abnormality). MRI may also be repeated several times to monitor disease progression; Computed tomography (CT scan): A technique that uses a series of X-rays to create detailed images of the spine and spinal cord. A CT scan shows a tumor or other pathology in the spine. The differential diagnosis should be made with plaque sclerosis, bleeding in the spinal cord, spinal cord tumor, Aran-Duchenne progressive muscular dystrophy, and tabet's disease.
Cần thực hiện các xét nghiệm để chuẩn đoán bệnh chính xác
5. Methods of treating hollow marrow disease
The treatment of the disease mainly depends on the cause, age, symptoms and condition of the patient. In most cases, patients need surgery because without surgery, the disease will lead to gradual weakness in the arms and legs, loss of feeling in the hands, chronic pain.
Surgery helps stop the progression of myeloproliferative disease but does not improve existing neurological symptoms. In case of recurrence of syringomyelitis after surgery, further surgery may be required.
Patients with empty marrow but no symptoms may not need treatment. The elderly or those in poor health can simply monitor the progress of the disease closely without surgery.
Because umbilical cord disease can cause long-term effects on the nervous system, in order to limit the progression of the disease, patients need to monitor the symptoms of the disease, they can refer to physical therapy measures to reduce symptoms. Verification, timely follow-up,...
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