spinal cord injury & damage reverend kyle h. hatashita d.d. block 3 honors mrs. jensen
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Spinal Cord Injury Spinal Cord Injury & Damage& Damage
Reverend Kyle H. Hatashita D.D.Reverend Kyle H. Hatashita D.D.Block 3 HonorsBlock 3 Honors
Mrs. JensenMrs. Jensen
Central Nervous Central Nervous SystemSystem
Spinal Cord Injuries Affect mainly the CNSSpinal Cord Injuries Affect mainly the CNS
Disrupts Transmission of Nerve SignalsDisrupts Transmission of Nerve Signals
Swelling can disrupt or shut down every system Swelling can disrupt or shut down every system in the bodyin the body
Caused by Trauma or DiseaseCaused by Trauma or Disease
Two Types of Injury: Incomplete & Complete Two Types of Injury: Incomplete & Complete
EffectsEffectsParalysisParalysis
Dysfunction of bowels and bladderDysfunction of bowels and bladder
Male infertilityMale infertility
Inability to regulate blood pressure Inability to regulate blood pressure
Inability to sweat below level of injuryInability to sweat below level of injury
Chronic painChronic pain
Effects cont.Effects cont.Cervical: Cervical:
Above C4: Above C4: VentillatorVentillator
C5-C7: Little C5-C7: Little hand/arm controlhand/arm control
Thoracic:Thoracic:Paraplegic: Paraplegic: wrist/hand okwrist/hand ok
T1-T8: Poor torso T1-T8: Poor torso control control
T9-T12: Better T9-T12: Better torso controltorso control
TypesTypes
Complete:Complete:No function or sensation below injury siteNo function or sensation below injury site
Both Sides equally affectedBoth Sides equally affected
Can Result in quadriplegia Can Result in quadriplegia
Incomplete:Incomplete:Some function and/or sensation below Some function and/or sensation below injury siteinjury site
One side may be more affected than otherOne side may be more affected than other
StatisticsStatisticsApproximately 450,000 people live with Approximately 450,000 people live with SCI in the US SCI in the US
About 10,000 new cases per year with About 10,000 new cases per year with 82% of them being male aged 16-3082% of them being male aged 16-30
36% of that resulting from auto 36% of that resulting from auto accidentsaccidents
Statistics cont.Statistics cont.85% of SCI patients (due to trauma) 85% of SCI patients (due to trauma) who survive the first 24 hours are alive who survive the first 24 hours are alive 10 years later10 years later
Most common cause of death in SCI Most common cause of death in SCI patients are diseases of the respiratory patients are diseases of the respiratory systemsystem
Second: non-ischemic heart disease Second: non-ischemic heart disease
Third: SuicideThird: Suicide
Immediate Immediate TreatmentTreatment
Prevention of further DamagePrevention of further Damage
Emotional TherapyEmotional Therapy
Preventing InflammationPreventing Inflammation
Corticosteroid Controller Medications Corticosteroid Controller Medications (MS)(MS)
Treatment of chronic spinal Treatment of chronic spinal cord injured patients with cord injured patients with autologous bone marrow-autologous bone marrow-
derived hematopoietic stem cell derived hematopoietic stem cell transplantationtransplantation
Cairo University conducted human trial Cairo University conducted human trial of hematopoietic progenitor stem cells in of hematopoietic progenitor stem cells in SCI PatientsSCI Patients
Results: Improved functionsResults: Improved functions
Not FDA approvedNot FDA approved
MRI showed no tumorsMRI showed no tumors
Awaiting 1 year follow upAwaiting 1 year follow up