PPT-Spinal Cord Injury Severe Spasticity

ITB Therapy SM intrathecal baclofen therapy Important Safety Information for ITB Therapy SM ITB Therapy Intrathecal Baclofen Therapy is indicated for use in the management of severe spasticity Patients should first respond to a screening dose of intrathecal baclofen prior to consideration for long term infusion via an implantable pump For spasticity of spinal cord origin ITB Therapy via an implantable infusion system should be reserved for patients unresponsive to oral baclofen or those who experience intolerable CNS side effects at effective doses Patients with spasticity due to traumatic brain injury should wait at least one year after the injury before consideration of longterm intrathecal baclofen therapy . Overview:. Anatomy of the spinal cord. Case presentation. Spinal cord injuries . Classification. Complete and incomplete syndromes. Respiratory complications of spinal cord injuries. ICU management of spinal cord injuries. Megan McClintock, MS, RN. Fall 2011 – NRS 440. Trigeminal Neuralgia . (tic . d. ouloureux. ). Dx. /Treatment. CT & MRI. Tegretol. (. carbamazepine. ) or . Trileptal. (. oxcarbazepine. ). Nerve blocks. Channing Callahan. Crystal Buck. Jen . Vogl. Pathophysiology:. Injury . ranges from: transient concussion, contusion, laceration, . compression, or severing . of the spinal cord.. SCI’s can also be separated into 2 categories: . Cord . Injury. Too big a topic for 30 minutes……………... Goals:. Demographics. Mechanisms of Injury & Pathophysiology. Presentation & Diagnosis including common spinal cord syndromes . . Chapter 45. Spinal Cord. Lumbosacral Back Pain (Low Back Pain). Herniated nucleus pulposus. Health Promotion and Maintenance. Good posture. Proper lifting. Exercise. Ergonomics . Patient-Centered Collaborative Care. Bones. . spinal cord. Anatomy . 33 vertebrae . 7 cervical, . 12 thoracic, . 5 lumbar, and . 5 sacral vertebrae. 4 fused . coccygeal. 31 bilaterally paired spinal nerves . January2015SCI Fact SheetThe Spinal Cord Injury Model System is sponsored by the National Institute on Disability and Rehabilitation Research systemcentersfor more informationWhat is the spineThe spin Cerebral PalsyMegan Flanigan MD12 Deborah Gaebler-Spira MD12Christina Marciniak MD12Masha Kocherginsky PhD11Northwestern University Feinberg School of Medicine Chicago Il 2Shirley Ryan AbilityLab Chic ReferencesAdvanced Trauma Life Support for Doctors ATLS Student Course Manual 8thed 2008 Chicago IL American College of Surgeons Ahn H Singh J Nathens A MacDonald RD Travers A Tallon J Fehlings MG and Thoracic 10%. Lumbar 3%. Dorso lumbar 35%. Combination of areas 14%. Anatomy. Spinal cord ends below lower border of L1. Cauda equina is below L1. Mechanical injury - early ischaemia, cord edema - cord necrosis. Introduction :. 2 General Classifications. Complete Lesion . A lesion to the spinal cord where there is no preserved motor or sensory function below the level of lesion. Incomplete Lesion. A lesion to the spinal cord with incomplete damage to the cord. There may be scattered motor function, sensory function or both below the level of lesion. Robin Bischoff, CRRN Kessler Institute for Rehabilitation. rbischoff@kessler-rehab.com. Michael Stillman, MD Sidney Kimmel Medical College of . Thomas Jefferson University. michael.stillman@jefferson.edu. Frazier Rehab Institute . Spinal Cord Medicine Program. The Digestive System. Consists . of mouth, pharynx, esophagus, stomach, small & large intestines, rectum and anus. Major . functions:. Break down food to be absorbed as nutrients. Dr . Digvijay. Sharma. Spasticity. Spasticity is one of the most common and potentially disabling and bothersome complications affecting individuals with Neurological conditions.. 1. Spasticity may be defined as a motor disorder characterized by a velocity-dependent exaggeration of stretch reflexes, resulting from abnormal .