Neurologic Decline After Spinal Cord Injury.

IF 1.1 4区 医学 Q3 REHABILITATION Physical Medicine and Rehabilitation Clinics of North America Pub Date : 2025-02-01 Epub Date: 2024-10-22 DOI:10.1016/j.pmr.2024.07.004
Zakari R Dymock, Sara Shahid Salles
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Abstract

Spinal cord injuries (SCI) affect the anatomy and physiology of the spinal cord and result in characteristic changes. Identifying the impairments resulting from SCI is vital for the health care provider. Specifically, this article focuses on neurologic decline after SCI in the subacute to chronic stages. This includes changes in spasticity and its management over time, management of neuropathic pain after SCI, the development of spine complications (posttraumatic syrinx, spinal cord tethering, and so forth), management of dual-diagnosis traumatic brain injury and SCI, and other neurologic complications in chronic SCI management, such as upper-extremity entrapment mononeuropathies.

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脊髓损伤后的神经功能衰退。
脊髓损伤(SCI)会影响脊髓的解剖和生理结构,并导致特征性变化。对于医疗服务提供者来说,识别 SCI 所造成的损伤至关重要。本文特别关注 SCI 后从亚急性到慢性阶段的神经功能衰退。这包括痉挛的变化及其随时间推移的处理、SCI 后神经病理性疼痛的处理、脊柱并发症的发展(创伤后鞘膜积液、脊髓拴系等)、创伤性脑损伤和 SCI 双重诊断的处理,以及慢性 SCI 处理中的其他神经系统并发症,如上肢夹层单神经病变。
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来源期刊
CiteScore
3.30
自引率
0.00%
发文量
82
审稿时长
6-12 weeks
期刊介绍: Physical Medicine and Rehabilitation Clinics updates you on the latest trends in patient management, keeps you up to date on the newest advances, and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in physical and rehabilitation medicine and is presented under the direction of an experienced editor. Topics include brain injury rehabilitation, electrodiagnosis, geriatric rehabilitation, musculoskeletal medicine, neuromuscular medicine, pain management, spine medicine, sports medicine/ortho rehabilitation, and stroke/neurologic rehabilitation. Physical Medicine and Rehabilitation Clinics publishes four times per year, in February, May, August, and November.
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