Symptoms of spinal cord white matter injury?

summary

One day ago, I had a car accident. At that time, I didn't feel that it was a big problem. I just had some skin injuries. I scraped the skin on my feet, legs and arms, so I didn't go to the hospital for examination. After I went home, I had a night's rest, and then I felt that my legs were numb. I didn't listen to the instructions. I didn't know where my legs hurt. I was a little worried about my spinal cord injury. Symptoms of spinal cord white matter injury? Now let me tell you something.

Symptoms of spinal cord white matter injury?

After a sudden complete transection of the spinal cord, all sensation and movement below the transection plane are lost, and the reflex disappears, which is called spinal cord shock. After a few weeks to months, all kinds of reflexes can gradually recover, but because it is difficult to regenerate the afferent bundle, the spinal cord has lost the facilitation and inhibition of the brain, so the deep reflex and muscle tension after recovery are higher than normal, and the sensation and movement below the transection plane cannot be recovered.

Spinal cord hemisection can cause brown SEQUA syndrome below the injury level, loss of position sense, vibration sense and fine sense below the injury level, ipsilateral limb paralysis, and loss of pain and temperature sense of the contralateral body below the injury level. The anterior horn of spinal cord is damaged, mainly involving the motor neurons in the anterior horn. The skeletal muscle dominated by these cells is characterized by slow paralysis, hypotonia, disappearance of tendon reflex, muscle atrophy, no pathological reflex, but no different feeling, such as poliomyelitis

Around the central gray matter, if the lesion invades the anterior white matter syndesmosis, it blocks the cross fibers of the spinothalamic tract, resulting in the disappearance of pain and temperature sensation in the corresponding parts, and the absence of proprioception and fine touch. This phenomenon is called sensory separation, such as patients with syringomyelia or intramedullary tumors. Patients must go to large hospitals for regular treatment, must actively cooperate with the doctor's treatment.

matters needing attention

Patients must pay attention to personal hygiene in daily life, relax and rest, and don't be too nervous. They must believe in themselves and don't have psychological burden. They should try not to eat spicy food, eat more fresh fruits and vegetables, and drink more water.