Spinal cord compression
Can be due to trauma (fracture or dislocation); disc disease (prolapse, spondylosis); neoplasm; abscess; haematoma.
Acute spinal cord compression:
• usually result of trauma or tumour; pain is usually present in spinal region or dermatome
• sudden onset of paralysis and sensory loss below lesion
Progressive spinal cord compression:
• usually due to expanding lesion gradual onset of symptoms (sometimes may be acute)
• in early stages motor symptoms are usually predominant – complain of weak stiff legs
• show signs of corticospinal tract dysfunction – weakness, spasticity, increased tendon reflexes, bilateral extensor plantar response
• with progression sensory features become apparent parathesia and numbness in feet gradually ascends to correspond to the spinal segment
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