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Delayed onset Lhermitte's sign has been reported following head and/or neck trauma. [9] [10] This occurs ~2 1/2 months following injury, without associated neurological symptoms or pain, and typically resolves within 1 year. [citation needed]
The impact of craniocervical instability can range from minor symptoms to severe disability in which patients are bed-bound. The constellation of symptoms caused by craniocervical instability is known as "cervico-medullary syndrome" [4] and includes: [5] [6] [7]
The shoulder abduction relief test, also called Bakody's test, is a medical maneuver used to evaluate for cervical radiculopathy. [1] Specifically, this test is used to evaluate for nerve root compression at C5-C7. It is often used when a patient presents with neck pain that radiates down the ipsilateral upper extremity. [2]
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
When treating a person with a spinal cord injury, repairing the damage created by injury is the ultimate goal. By using a variety of treatments, greater improvements are achieved, and, therefore, treatment should not be limited to one method. Furthermore, increasing activity will increase his/her chances of recovery. [1]
If the patient is obtunded, i.e. has a head injury with altered sensorium, is intoxicated, or has been given potent analgesics, the cervical spine must remain immobilized until a clinical examination becomes possible. [1] Neurosurgeons or orthopaedic surgeons manage any detected injury. Today, most large centers have spine surgery specialists ...
The neck contains several vulnerable targets for compression including the carotid arteries. Strangling involves one or several mechanisms that interfere with the normal flow of oxygen into the brain: [3] [4] Compression of the carotid arteries or jugular veins—causing cerebral ischemia.