1 / 16

PARAPLEGIA

PARAPLEGIA. Intradural. Extradural. INTRAMEDULLARY CORD COMPRESSION. Glioma Syringomyelia Tuberculoma A-V malformations Ependymoma Hematomyelia. EXTRAMEDULLARY. EXTRADURAL. INTRADURAL. Fracture spine-traumatic -pathological :Mets, TB .,Osteoporosis P.I.D Cervical spondylosis

yanni
Download Presentation

PARAPLEGIA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PARAPLEGIA

  2. Intradural Extradural

  3. INTRAMEDULLARY CORD COMPRESSION Glioma Syringomyelia Tuberculoma A-V malformations Ependymoma Hematomyelia

  4. EXTRAMEDULLARY EXTRADURAL INTRADURAL • Fracture spine-traumatic -pathological :Mets, TB .,Osteoporosis • P.I.D • Cervical spondylosis • Spondylolisthesis • Cranio – vertebral anomalies • Spina – bifida • Meningomyelocoele • Epidural abscess • Neurofibroma • Meningioma • Malignant metastasis • Arachnoiditis • Lipoma, , Fibroma • Arachnoid cyst

  5. NON – COMPRESSIVE MYELOPATHY MULTIPLE SCLEROSIS SYRINGOMYELIA SUB ACUTE COMBINED DEGENERATION ARTERIOVENUS MALFORMATION LATHYRISM HERIDATORY SPASTIC PARAPLEGIA AMYOTROPHIC LATERAL SCLEROSIS PRIMARY LATERAL SCLEROSIS RADIATION MYELOPATHY ADRENOMYELONEUROPATHY PROGRESSIVE ENCEPHALOMYELITIS PARANEOPLASTIC MYELITIS

  6. CLINICAL PRESENTATIONS

  7. Nerve Supply of Bladder

  8. Neuronal control of bladder

  9. Micturition Centers • The Micturition Control Center in Frontal Lobe • Inhibitory signals to the detrusor muscle to prevent the bladder from emptying (contracting) • Until a socially acceptable time and place to urinate is available. • Pontine Micturition Center (PMC) • Coordinates the urethral sphincter relaxation and • Detrusor contraction to facilitate urination.

  10. Role of Pontine Center (PMC) • Stimulation of the PMC causes • Opening of urethral sphincters • Contraction of detrusor • Resulting in bladder emptying • The PMC is affected by emotions • Some people micturate when they are excited or scared • The ability of the brain to control the PMC is part of the social training • Usually the brain takes over the control of the pons at 3-4 years of age

  11. Role of Frontal Center • Stimulation of the Frontal Center causes • Inhibition of detrusor, until a convenient time & place is available for micturition. • By suppressing the Pontine Center (PMC)

  12. Role of Spinal Cord • The sacral reflex center is the primitive voiding center • Responsible for bladder contractions

  13. THANK YOU

More Related