13- Sindrome de Compresion Medular Radicular
Transcript of 13- Sindrome de Compresion Medular Radicular
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SINDROME DE COMPRESION MEDULAR Y
RADICULAR
DR. JAVIER E. MEJIAUEES2013
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SINDROME MEDULAR
SINDROME DOLOROSO ETIOLOGIA VARIABLE AFECCION PARCIAL O TOTAL DEL RAQUIS
MEDULAR SINDROME RADICULAR
PROCESOS INFLAMATORIOS DOLOROSOS NERVIO PERIFERICO
DEFINICION
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SINDROME RADICULAR-MEDULAR
INCIDENCIA 5-14% TORACICO 70% CERVICAL, LUMBOSACRA 30 % 8-47 % NEOPLASIAS
EPIDEMIOLOGIA
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INMUNOLOGICOS
ESCLEROSIS MULTIPLE SIND DE GUILLIAIN BARRE
DISCITIS PIOGENA: DOLOR, FIEBRE, DEFICIT NEUROLOGICO
TUBERCULOSIS VERTEBRAL NEUROPATIA DIABETICA HERNIAS DISCALES INFECCION POR HERPES ZOSTER FRACTURAS VERTEBRALES NEOPLASIAS
ETIOLOGIA
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DOLOR UNILATERAL PARESTESIAS ANESTESIA DEBILIDAD Y ATROFIA HIPOREFLEXIA-HIPEREFLEXIA PARAPLEJIA DEBILIDAD Y FASCICULACIONES
SIGNOS Y SINTOMAS
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RADICULOPATIA AGUDA
48 HRS RADICULOPATIA SUBAGUDA
1 SEMANA CRONICA:
30 DIAS DESDE EL INICIO DE LOS SINTOMAS
CLASIFICACION
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CUADRO CLINICO
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RADIOLOGIA CONVENCIONAL TOMOGRAFIA COMPUTADA RESONANCIAMAGNETICA NUCLEAR POTENCIALES EVOCADOS MAS EMG ESTUDIO DE LIQUIDO CEFALORAQUIDEO
DIAGNOSTICO
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DOLOR SINTOMAS MOTORES UNILATERAL PERDIDA ESFINTERIANA TARDIA EVOLUCION RAPIDA SI ES METASTASIS
TUMORES EXTRADURALES
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EMERGENCIA
CAUSA DEXKETOPROFENO 50 MGS CADA 8 HORAS HIDROCOLCHICOSIDO 4 MGS CADA 8 HORAS TIZANIDINA 50 MGS CADA 12 HORAS PREGABALINA 75 CADA 12 HORAS DEXAMETASONA 19 GS CADA 8 HORAS
DESCOMPRESION MEDULAR RADIOTERAPIA
TRATAMIENTO