WordNet
- a slight paralysis or weakness of both legs
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/02/20 16:50:58」(JST)
[Wiki en表示]
Not to be confused with Hemiplegia.
Paraplegia |
Classification and external resources |
ICD-10 |
G82.1 |
ICD-9 |
334.1, 344.1 |
MeSH |
D010264 |
Paraplegia is an impairment in motor or sensory function of the lower extremities. The word comes from Ionic Greek: παραπληγίη "half-striking". It is usually caused by spinal cord injury or a congenital condition such as spina bifida that affects the neural elements of the spinal canal. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. If all four limbs are affected by paralysis, tetraplegia is the proper terminology. If only one limb is affected, the correct term is monoplegia.
Spastic paraplegia is a form of paraplegia defined by spasticity of the affected muscles, rather than flaccid paralysis.
Contents
- 1 Complications
- 2 Treatment
- 3 See also
- 4 References
Complications[edit]
Due to the decrease or loss of feeling or function in the lower extremities, paraplegia can contribute to a number of medical complications including pressure sores (decubitus), thrombosis, and pneumonia. Physiotherapy and numerous assistive technology, such as a standing frame, as well as vigilant self-observation and -care, may assist in helping to prevent future complications and mitigate existing complications.
As paraplegia is most often the result of a traumatic injury to the spinal cord tissue and the resulting inflammation, other nerve-related complications can and do occur. Cases of chronic nerve pain in the areas surrounding the point of injury are not uncommon. There is speculation[citation needed] that the "phantom pains" experienced by individuals suffering from paralysis could be a direct result of these collateral nerve injuries misinterpreted by the brain.
Treatment[edit]
Individuals with paraplegia can range in their level of disability, requiring treatments to vary from case to case. From a rehabilitation standpoint, the most important factor is to gain as much functionality and independence back as possible. Physiotherapists spend many hours within a rehabilitation setting working on strength, range of motion/stretching and transfer skills.[1] Wheelchair mobility is also an important skill to learn. Most paraplegics will be dependent on a wheelchair as a mode of transportation. Thus it is extremely important to teach them the basic skills to gain their independence.[2] Activities of daily living (ADLs) can be quite challenging at first for those with a spinal cord injury (SCI). With the aid of physiotherapists and occupational therapists, individuals with an SCI can learn new skills and adapt previous ones to maximize independence, often living independently within the community.[3]
See also[edit]
- Hemiplegia
- Quadriplegia
- Cauda equina syndrome
- The Body Silent
References[edit]
- ^ Taylor-Schroeder S, LaBarbera J, McDowell S, et al. (2011). "The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time during inpatient spinal cord injury rehabilitation". J Spinal Cord Med 34 (2): 149–61. PMC 3066500. PMID 21675354.
- ^ Ozelie R, Sipple C, Foy T, et al. (2009). "SCIRehab Project series: the occupational therapy taxonomy". J Spinal Cord Med 32 (3): 283–97. PMC 2718817. PMID 19810630.
- ^ Tzonichaki I, Kleftaras G (2002). "Paraplegia from spinal cord injury: self-esteem, loneliness, and life satisfaction". OTJR: Occupation, Participation and Health 22 (3): 96–103.
Cerebral palsy and other syndromes (G80–G83, 342–344)
|
|
Paresis and plegia NOS |
- Paralysis
- Quadriplegia
- Triplegia
- Hemiplegia/Hemiparesis
- Paraplegia/Diplegia
- Monoplegia
|
|
Flaccidity vs. spasticity |
- Upper motor neuron lesion: Pseudobulbar palsy
- Spastic diplegia
- Spastic paraplegia
- Hereditary spastic paraplegia
- Lower motor neuron lesion: Bulbar palsy
- Flaccid paralysis
|
|
Specific types |
- Cerebral palsy
- Cauda equina syndrome
- Locked-in syndrome
|
|
|
anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
|
noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
|
proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
|
|
|
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Percutaneous stenting of interrupted aortic arch to treat compressive myelopathy.
- Moorthy N1, Ananthakrishna R, Nanjappa MC.
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.Catheter Cardiovasc Interv.2014 Nov 1;84(5):815-9. doi: 10.1002/ccd.25408. Epub 2014 Feb 3.
- Neurological complications of coarctation of aorta include spontaneous SAH, intracerebral hemorrhage, and cerebral abscess. Interrupted aortic arch (IAA) present as compressive myelopathy is not known. We describe an adult male presenting to neurology department with progressive paraparesis and was
- PMID 24458503
- Electrophysiologic deterioration in surgery for thoracic disc herniation: impact of mean arterial pressures on surgical outcome.
- Zuckerman SL1, Forbes JA, Mistry AM, Krishnamoorthi H, Weaver S, Mathews L, Cheng JS, McGirt MJ.
- European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society.Eur Spine J.2014 Nov;23(11):2279-90. doi: 10.1007/s00586-014-3390-z. Epub 2014 Jun 5.
- OBJECTIVE: Severe thoracic disc herniation leads to increased pressure in adjacent neural structures, which in turn can require an increase in mean arterial pressure (MAP) to maintain adequate spinal cord perfusion. We report a case series of three patients with severe thoracic disc herniation that
- PMID 24898311
- Inflammatory manifestations of HTLV-1 and their therapeutic options.
- Martin F1, Taylor GP, Jacobson S.
- Expert review of clinical immunology.Expert Rev Clin Immunol.2014 Nov;10(11):1531-46. doi: 10.1586/1744666X.2014.966690.
- Human T lymphotropic virus type 1 (HTLV-1) is one of the most intriguing retroviruses infecting humans. Most commonly, infection remains undetected, since it does not cause obvious harm, yet in 4-9% of patients, this infection can be devastating, causing adult T-cell leukemia/lymphoma and/or HTLV-1
- PMID 25340428
Japanese Journal
- Primary Cauda Equina Lymphoma Treated With High-Dose Methotrexate
- IWASAKI Motoyuki,HIDA Kazutoshi,YANO Shunsuke,AOYAMA Takeshi,KANEKO Sadahiro,IWASAKI Yoshinobu
- Neurologia medico-chirurgica = 神経外科 52(9), 679-683, 2012-09-15
- … A 69-year-old man presented with a very rare case of primary central nervous system lymphoma originating in the cauda equina manifesting as progressive paraparesis. …
- NAID 10030873221
- 西 秀久,佐藤 宰,佐野 徳隆,黒山 貴弘,奥 圭佑,永田 学,吉本 修也,鳥橋 孝一,黒崎 義隆,小柳 正臣,定政 信猛,鳴海 治,半田 明,山形 専
- 脳神経外科ジャーナル 21(8), 631-636, 2012-08-20
- 胸髄髄内発生と考えられた神経腸嚢胞の1手術例を報告する.症例は7歳の男児.比較的急速に進行する痙性対麻痺を呈した.脊髄MRIでTh1/2レベルの髄内に局在する嚢胞性病変を認めた.初回治療として嚢胞壁開窓術を行い,神経腸嚢胞の病理診断を得た.術後2週間で再発を認め,追加治療として嚢胞-くも膜下腔シャント術を施行したところ,嚢胞の消失と症状の改善が得られた.神経腸嚢胞は,脊索と前腸の不完全な分離により …
- NAID 110009480324
Related Links
- paraparesis /para·pa·re·sis/ (-pah-re´sis) partial paralysis of the lower limbs. tropical spastic paraparesis chronic progressive myelopathy. par·a·pa·re·sis (p r - p -r s s, -p r -s s). n. Partial paralysis of the lower extremities. par a·pa·ret ic (-r t k) adj.
- Paraparesis is a neurological condition characterized by weakness or partial paralysis in the lower limbs. Causes of paraparesis...
Related Pictures
★リンクテーブル★
[★]
- 関
- paraparesis
[★]
- 英
- paraparesis、paraparetic
[★]
痙性対麻痺
- 関
- spastic paraplegia
[★]
熱帯性痙性不全対麻痺症 TSP