Medical Health Encyclopedia

Spinal cord trauma


InjuryDiseasesNutritionPoison
SymptomsSurgeryTestSpecial Topic
Cauda equina
Vertebra and spinal nerves
Vertebra and spinal nerves
Overview Symptoms Treatment Prevention
Alternative Names

Spinal cord injury; Compression of spinal cord; SCI; Cord compression


Symptoms

Symptoms vary somewhat depending on the location of the injury. Spinal cord injury causes weakness and sensory loss at and below the point of the injury. The severity of symptoms depends on whether the entire cord is severely injured (complete) or only partially injured (incomplete).

The spinal cord doesn't go below the 1st lumbar vertebra, so injuries at and below this level do not cause spinal cord injury. However, they may cause "cauda equina syndrome" -- injury to the nerve roots in this area.

CERVICAL (NECK) INJURIES




When spinal cord injuries occur in the neck area, symptoms can affect the arms, legs, and middle of the body. The symptoms may occur on one or both sides of the body. Symptoms can include:

  • Breathing difficulties (from paralysis of the breathing muscles, if the injury is high up in the neck)
  • Loss of normal bowel and bladder control (may include constipation, incontinence, bladder spasms)
  • Numbness
  • Sensory changes
  • Spasticity (increased muscle tone)
  • Pain
  • Weakness, paralysis

THORACIC (CHEST LEVEL) INJURIES

When spinal injuries occur at chest level, symptoms can affect the legs:

  • Loss of normal bowel and bladder control (may include constipation, incontinence,
  • bladder spasms)
  • Numbness
  • Sensory changes
  • Spasticity (increased muscle tone)
  • Pain
  • Weakness, paralysis

Injuries to the cervical or high thoracic spinal cord may also result in blood pressure problems, abnormal sweating, and trouble maintaining normal body temperature.

LUMBAR SACRAL (LOWER BACK) INJURIES

When spinal injuries occur at the lower back level, varying degrees of symptoms can affect one or both legs, as well as the muscles that control your bowels and bladder:

  • Loss of normal bowel and bladder control (you may have constipation, leakage, and bladder spasms)
  • Numbness
  • Pain
  • Sensory changes
  • Spasticity (increased muscle tone)
  • Weakness and paralysis

Signs and tests

Spinal cord injury is a medical emergency requiring immediate attention.

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