RESUMO
Although the incidence of isolated long thoracic nerve palsy following acute spinal trauma is rare, one such case is presented with discussion of injury and treatment. The patient is a young man with paraplegia whose hospitalization was prolonged due to isolated right long thoracic nerve palsy. Palsy resulted form overstretching this nerve while using an overhead trapeze. Diagnosis was confirmed by electrodiagnostic studies. Full recovery occurred after 6 months.
Assuntos
Paralisia/etiologia , Paraplegia/reabilitação , Nervos Torácicos , Adulto , Eletrodiagnóstico , Humanos , Masculino , Paralisia/diagnóstico , Traumatismos da Medula Espinal/complicações , Nervos Torácicos/anatomia & histologiaRESUMO
Twelve male patients with spinal cord injury were studied. The purpose of this study was to determine if ulnar nerve damage occurs in patients with spinal cord injury who are wheelchair bound and if so at which segment of the ulnar nerve. The results showed significant drop in ulnar nerve conduction velocity in both segments, mid-arm to below elbow and below to the wrist. There was no significant difference between quadriplegic and paraplegic. No significant correlation was found between ulnar nerve impairment and the duration of spinal cord injury.
Assuntos
Condução Nervosa , Traumatismos da Medula Espinal/fisiopatologia , Nervo Ulnar/fisiopatologia , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Nervo Ulnar/anatomia & histologia , Cadeiras de RodasRESUMO
There were 17 spinal cord injury men with drug-resistant pain who were treated with transcutaneous nerve stimulation. Bladder and sphincter dysfunctions were evaluated by gas cystosphincterometry and rectal sphinctero-electromyography with the patient in 2 different positions. With the use of transcutaneous nerve stimulation for pain we noted no demonstrable urodynamic changes in acute and chronic paraplegics and chronic quadriplegics. However, there was an increase in the urethral pressures and in the rectal electromyogram spike potentials in acute and recent (less than 2 years post-injury) quadriplegics with postural detrusor-striated sphincter dyssynergia. Therefore, caution is necessary when transcutaneous nerve stimulation is used in this particular group of patients since it might be detrimental to the genitourinary tract.
