Patient's question:
A relative is sick and goes to the hospital for a thorough examination. The doctor tells you that he has acute spinal cord inflammation. You want to know what the treatment principles for acute spinal cord inflammation are?Doctor's answer:
The clinical presentation of acute spinal cord inflammation is acute recurrence. The vast majority of patients experience a recurrence of motor dysfunction, sensory deficits, and dysfunction of the bladder and rectal sphincters within hours or days, more severe than the initial symptoms. Early motor dysfunction is a manifestation of spinal shock. The duration of spinal shock determines the severity of spinal cord injury and the likelihood of subsequent complications such as pulmonary infection, urinary tract infection, and pressure sores. The characteristics of autonomic dysfunction include early urinary retention and fecal retention. As spinal function fully recovers, reflex neurogenic bladder can develop. The vast majority of patients with spinal cord inflammation begin to fully recover within 8 weeks of onset, with recovery gradually slowing down between 3 to 6 months. One-third of patients have no long-term sequelae.