Spinal cord injury management in Noida — emergency surgery, cord decompression, stabilisation, and rehabilitation at Medanta Hospital. Team Sushrut, Sector 50, Noida.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Loss of movement below injury level
Title
Loss of sensation
touch, temperature, pain below injury level
Title
Bladder and bowel dysfunction (neurogenic bladder and bowel)
Title
Spinal shock
flaccidity and areflexia immediately after injury, replaced by spasticity later
Title
Autonomic dysreflexia in high thoracic/cervical injuries: sudden hypertension, headache, sweating
emergency
Treatments
Title
Spinal immobilisation, A-B-C resuscitation, blood pressure optimisation
Title
Emergency MRI and CT for injury characterisation
Title
Surgical decompression and stabilisation of vertebral fractures
Title
Prevention of secondary injury
blood pressure, temperature, glucose management
Title
Early intensive rehabilitation
physiotherapy, occupational therapy, bladder management
Title
Psychological support and vocational
