What is loss of blood supply called?
Blockage of an artery carrying blood to the spinal cord prevents the cord from getting blood and thus oxygen. As a result, tissues can die (called infarction). Show
(See also Overview of Spinal Cord Disorders Overview of Spinal Cord Disorders Spinal cord disorders can cause permanent severe problems, such as paralysis or impaired bladder and bowel control ( urinary incontinence and fecal incontinence). Sometimes these problems can... read more .) Like all tissues in the body, the spinal cord requires a constant supply of oxygenated blood. Only a few arteries, which are branches of the aorta, supply blood to the front part of the spinal cord. But this blood accounts for three fourths of the blood the spinal cord receives. Thus, blockage of any one of these arteries can be disastrous. Such a blockage occasionally results from the following:
SymptomsThe first symptoms of a blocked spinal cord artery are usually
The pain is followed by muscle weakness, and people cannot feel heat, cold, or pain in areas controlled by the part of the spinal cord below the level of the blockage. People immediately notice symptoms, which may lessen slightly over time. If the blood supply to the front of the spinal cord is greatly reduced, the legs are numb and paralyzed. But sensations transmitted through the back of the cord—including touch, the ability to feel vibration, and the ability to sense where the limbs are without looking at them (position sense)— remain intact because the back of the cord receives blood from other sources. Problems may partly resolve after the first few days. Weakness and paralysis can lead to the development of pressure sores Pressure Sores Pressure sores are areas of skin damage resulting from a lack of blood flow due to prolonged pressure. Pressure sores often result from pressure combined with pulling on the skin, friction,... read more and breathing difficulties. Bladder and bowel function may be impaired, as may sexual function. Diagnosis
Blockage of the spinal cord’s blood supply is usually suspected based on symptoms. Magnetic resonance imaging (MRI) usually enables doctors to diagnose such a blockage. If MRI is unavailable, myelography Myelography Diagnostic procedures may be needed to confirm a diagnosis suggested by the medical history and neurologic examination. Electroencephalography (EEG) is a simple, painless procedure in which... read more with CT, is done. These tests can help doctors rule out other disorders that cause similar symptoms. A spinal tap Spinal Tap (lumbar puncture) may also be done to rule out other disorders that cause similar symptoms, such as transverse myelitis Acute Transverse Myelitis Acute transverse myelitis is inflammation that affects the spinal cord across its entire width (transversely) and thus blocks transmission of nerve impulses traveling up or down the spinal cord... read more . Angiography Angiography In angiography, x-rays are used to produce detailed images of blood vessels. It is sometimes called conventional angiography to distinguish it from computed tomography (CT) angiography and magnetic... read more can confirm that an artery to the front of the spinal cord is blocked, but it is usually unnecessary. Treatment
When possible, the cause (such as aortic dissection or polyarteritis nodosa) is treated, but otherwise, treatment focuses on relieving symptoms and managing complications, especially when paralysis and spinal cord dysfunction do not resolve in the first few days and become permanent. Because some sensations are lost and paralysis may develop, preventing pressure sores Treatment from forming is important. Because breathing can be affected, therapy to help prevent pneumonia Chest Physical Therapy Chest physical therapy uses mechanical techniques, such as chest percussion, postural drainage, and vibration, to help clear secretions from the lungs. Respiratory therapists use several different... read more from developing may be necessary. Such therapy includes deep breathing exercises, postural drainage (positioning the person so that gravity helps drain secretions from the lungs), and suctioning (inserting a small plastic tube through the nose and into the windpipe to gently suck out secretions). Physical therapy Physical Therapy (PT) Physical therapy, a component of rehabilitation, involves exercising and manipulating the body with an emphasis on the back, upper arms, and legs. It can improve joint and muscle function, helping... read more and occupational therapy Occupational Therapy (OT) Occupational therapy, a component of rehabilitation, is intended to enhance a person's ability to do basic self-care activities, useful work, and leisure activities. These activities include... read more can help preserve muscle function. Because bladder function is usually impaired, a catheter is needed to drain urine. This treatment prevents the bladder from enlarging and being damaged. What is a deficiency in blood supply called?Definition. Arterial insufficiency is any condition that slows or stops the flow of blood through your arteries.
What is the main cause of avascular necrosis?Avascular necrosis is a disease that results from the temporary or permanent loss of blood supply to the bone. It happens most commonly in the ends of a long bone. Avascular necrosis may be the result of injury, use of medicines, or alcohol. Symptoms may include joint pain and limited range of motion.
What happens if avascular necrosis is left untreated?Untreated, avascular necrosis worsens. Eventually, the bone can collapse. Avascular necrosis also causes bone to lose its smooth shape, possibly leading to severe arthritis.
What is Ischaemia?What is ischemia? Ischemia is a condition in which blood flow (and thus oxygen) is restricted or reduced in a part of the body. Cardiac ischemia is decreased blood flow and oxygen to the heart muscle.
|