Thoracic Spinal Cord Syndrome

Thoracic Spinal Cord Syndrome: Combination of Paraplegia, Paraanesthesia and Autonomic Disorders

Thoracic Spinal Cord Syndrome (TSCS) is a complex of symptoms characterized by a combination of lower central paraplegia, paraanesthesia and autonomic disorders that manifest below the level of the lesion, as well as disorders of the pelvic organs, including retention and periodic incontinence of urine and feces. This syndrome develops when the spinal cord is damaged at the level of the II – XII thoracic segments.

One of the main characteristics of SHOSM is lower central paraplegia. Paraplegia is paralysis of both lower limbs and the lower body. In the case of SHOSM, damage to the spinal cord at the level of the thoracic segments leads to disruption of the conduction of nerve impulses to the lower extremities, which leads to their paralysis.

Paraanaesthesia is also a characteristic manifestation of GOSSM. During paraanesthesia, there is a loss of sensitivity below the level of damage. In the case of SHOSM, this means that patients lose sensation in the area of ​​the body located below the affected level of the thoracic segments of the spinal cord.

Autonomic disorders are an additional aspect of GOSMS. The autonomic nervous system controls the body's automatic functions, such as heart rate, breathing, thermoregulation, and digestive functions. When the spinal cord is damaged at the level of the thoracic segments, disturbances in autonomic regulation below the level of injury occur, which can manifest itself in a variety of ways, including changes in heart rate, respiratory disorders and disorders of the digestive system.

Disorders of the pelvic organs, such as retention and periodic incontinence of urine and feces, are also features of GOSSM. Damage to the spinal cord at the level of II – XII thoracic segments leads to impaired control over urination and bowel movements, which can lead to urinary and fecal retention, as well as to periodic incontinence.

Treatment of GOSSM includes a comprehensive approach aimed at reducing symptoms and improving the quality of life of patients. Physical therapy and rehabilitation help maintain and restore lower extremity function and teach patients how to use assistive devices, such as wheelchairs, to provide them with maximum mobility. In addition, medication may be prescribed to control symptoms and improve pelvic organ function.

An important part of the management of SGS is regular monitoring and consultation with specialists. Neurologists and urologists can offer individual recommendations for each patient based on the nature and extent of symptoms. They can also provide information about self-help techniques and support that can help patients cope with the challenges of OHS.

In conclusion, Thoracic Spinal Cord Syndrome is a condition characterized by a combination of lower central paraplegia, paraanesthesia and autonomic dysfunction, as well as pelvic organ dysfunction. This syndrome occurs when the spinal cord is damaged at the level of the II – XII thoracic segments. Treatment of GOSSM is aimed at reducing symptoms, improving function, and improving the quality of life of patients. Regular monitoring by specialists and the use of an integrated approach help patients achieve the best results and adapt to changed living conditions.



Thoracic spinal nervous system syndrome

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