Titre : Ischémie de la moelle épinière

Ischémie de la moelle épinière : Questions médicales fréquentes

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"headline": "Questions et réponses médicales fréquentes sur Ischémie de la moelle épinière", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-05-14", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Ischémie de la moelle épinière", "description": "Comment diagnostiquer l'ischémie de la moelle épinière ?\nQuels tests sont utilisés pour évaluer la fonction neurologique ?\nQuels signes cliniques indiquent une ischémie ?\nL'IRM peut-elle montrer des lésions ischémiques ?\nLes tests sanguins sont-ils utiles dans le diagnostic ?", "url": "https://questionsmedicales.fr/mesh/D020760?page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Ischémie de la moelle épinière", "description": "Quels sont les symptômes courants de l'ischémie ?\nL'ischémie peut-elle provoquer des troubles de la marche ?\nY a-t-il des symptômes spécifiques selon la localisation ?\nPeut-on ressentir des douleurs irradiantes ?\nL'ischémie peut-elle causer des troubles urinaires ?", "url": "https://questionsmedicales.fr/mesh/D020760?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Ischémie de la moelle épinière", "description": "Comment prévenir l'ischémie de la moelle épinière ?\nL'exercice régulier aide-t-il à prévenir l'ischémie ?\nLes habitudes alimentaires influencent-elles le risque ?\nFumer augmente-t-il le risque d'ischémie ?\nLe contrôle du cholestérol est-il important ?", "url": "https://questionsmedicales.fr/mesh/D020760?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Ischémie de la moelle épinière", "description": "Quels traitements sont disponibles pour l'ischémie ?\nLa réhabilitation est-elle nécessaire après un traitement ?\nQuels médicaments sont utilisés pour traiter l'ischémie ?\nLa chirurgie est-elle toujours nécessaire ?\nComment la gestion de la douleur est-elle abordée ?", "url": "https://questionsmedicales.fr/mesh/D020760?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Ischémie de la moelle épinière", "description": "Quelles complications peuvent survenir après une ischémie ?\nL'ischémie peut-elle entraîner des infections ?\nY a-t-il un risque de paralysie ?\nLes troubles respiratoires sont-ils possibles ?\nPeut-on développer des problèmes psychologiques ?", "url": "https://questionsmedicales.fr/mesh/D020760?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Ischémie de la moelle épinière", "description": "Quels sont les principaux facteurs de risque ?\nL'âge influence-t-il le risque d'ischémie ?\nLes antécédents familiaux jouent-ils un rôle ?\nLe stress peut-il être un facteur de risque ?\nLes maladies cardiaques augmentent-elles le risque ?", "url": "https://questionsmedicales.fr/mesh/D020760?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer l'ischémie de la moelle épinière ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'imagerie par résonance magnétique (IRM) et l'évaluation clinique." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la fonction neurologique ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests neurologiques, y compris des réflexes et des sensations, sont effectués." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent une ischémie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme la faiblesse musculaire, la douleur et des troubles sensoriels peuvent indiquer une ischémie." } }, { "@type": "Question", "name": "L'IRM peut-elle montrer des lésions ischémiques ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'IRM peut révéler des zones de nécrose ou d'œdème dans la moelle épinière." } }, { "@type": "Question", "name": "Les tests sanguins sont-ils utiles dans le diagnostic ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des tests sanguins peuvent aider à identifier des causes sous-jacentes comme l'anémie." } }, { "@type": "Question", "name": "Quels sont les symptômes courants de l'ischémie ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur, faiblesse, engourdissement et dysfonctionnement des organes." } }, { "@type": "Question", "name": "L'ischémie peut-elle provoquer des troubles de la marche ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la faiblesse des membres inférieurs peut entraîner des difficultés à marcher." } }, { "@type": "Question", "name": "Y a-t-il des symptômes spécifiques selon la localisation ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes varient selon la région de la moelle épinière affectée." } }, { "@type": "Question", "name": "Peut-on ressentir des douleurs irradiantes ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des douleurs peuvent irradier vers les bras ou les jambes selon la zone touchée." } }, { "@type": "Question", "name": "L'ischémie peut-elle causer des troubles urinaires ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des troubles urinaires peuvent survenir en raison de l'atteinte neurologique." } }, { "@type": "Question", "name": "Comment prévenir l'ischémie de la moelle épinière ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut le contrôle des facteurs de risque comme l'hypertension et le diabète." } }, { "@type": "Question", "name": "L'exercice régulier aide-t-il à prévenir l'ischémie ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'exercice régulier améliore la circulation sanguine et réduit les risques." } }, { "@type": "Question", "name": "Les habitudes alimentaires influencent-elles le risque ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une alimentation équilibrée peut réduire le risque d'ischémie." } }, { "@type": "Question", "name": "Fumer augmente-t-il le risque d'ischémie ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme est un facteur de risque majeur pour l'ischémie de la moelle épinière." } }, { "@type": "Question", "name": "Le contrôle du cholestérol est-il important ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, maintenir un taux de cholestérol sain est crucial pour prévenir l'ischémie." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour l'ischémie ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent la réanimation, la chirurgie et la thérapie médicamenteuse." } }, { "@type": "Question", "name": "La réhabilitation est-elle nécessaire après un traitement ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la réhabilitation est cruciale pour récupérer la fonction neurologique." } }, { "@type": "Question", "name": "Quels médicaments sont utilisés pour traiter l'ischémie ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Des anticoagulants et des anti-inflammatoires peuvent être prescrits." } }, { "@type": "Question", "name": "La chirurgie est-elle toujours nécessaire ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Non, la chirurgie est réservée aux cas graves ou lorsque d'autres traitements échouent." } }, { "@type": "Question", "name": "Comment la gestion de la douleur est-elle abordée ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La gestion de la douleur peut inclure des analgésiques et des thérapies complémentaires." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une ischémie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des déficits neurologiques permanents et des troubles de la mobilité." } }, { "@type": "Question", "name": "L'ischémie peut-elle entraîner des infections ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des infections peuvent survenir en raison de l'immobilité prolongée." } }, { "@type": "Question", "name": "Y a-t-il un risque de paralysie ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une ischémie sévère peut entraîner une paralysie partielle ou totale." } }, { "@type": "Question", "name": "Les troubles respiratoires sont-ils possibles ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des troubles respiratoires peuvent survenir si la moelle épinière est gravement affectée." } }, { "@type": "Question", "name": "Peut-on développer des problèmes psychologiques ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des problèmes psychologiques comme la dépression peuvent survenir après une ischémie." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'hypertension, le diabète, le tabagisme et l'obésité." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque d'ischémie ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque d'ischémie augmente avec l'âge en raison de la dégradation vasculaire." } }, { "@type": "Question", "name": "Les antécédents familiaux jouent-ils un rôle ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux de maladies cardiovasculaires augmentent le risque." } }, { "@type": "Question", "name": "Le stress peut-il être un facteur de risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le stress chronique peut contribuer à des problèmes cardiovasculaires et à l'ischémie." } }, { "@type": "Question", "name": "Les maladies cardiaques augmentent-elles le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les maladies cardiaques sont un facteur de risque majeur pour l'ischémie de la moelle épinière." } } ] } ] }

Sources (10000 au total)

The utility of diffusion-weighted imaging in patients with spinal cord infarction: difference from the findings of neuromyelitis optica spectrum disorder.

Magnetic resonance imaging (MRI) plays a crucial role in diagnosing spinal cord infarction (SCI). However, the findings are often indistinguishable from those of other intramedullary diseases, such as... Clinical and MRI findings were retrospectively evaluated in 15 and 12 patients with acute SCI and NMOSD, respectively. First, clinical characteristics were compared between the SCI and NMOSD groups. S... The proportion of female patients was higher in the NMOSD group (92%) than in the SCI (40%). The time from symptom onset to nadir was smaller in the SCI group (median [interquartile range]; 4 [0.1-8.3... DWI and ADC maps help distinguish SCI from NMOSD. The time from symptom onset, imaging sequence, and imaging plane should be considered when MRI findings are interpreted in patients with suspected SCI...

Spinal cord ischemia - from diagnosis to treatment.

The aim of the article is to outline the frequency of the occurrence, course, diagnosis and possible treatment of spinal cord ischemia (SCI) on the basis of a literature overview and to raise awarenes... SCI, when compared to cerebral stroke, is a relatively rare disease, being diagnosed 100 times less often. Our knowledge as to its root causes, proper treatment for it and long-term prognosis is still... Due to the relative rarity of SCI, multi-center studies of ischemia of the spinal cord and its treatment would be advisable in neurological practice to enhance current knowledge. A rapid diagnosis is ...

Predictors and outcomes of spinal cord injury following complex branched/fenestrated endovascular aortic repair in the US Aortic Research Consortium.

Spinal cord ischemia (SCI) is a well-known complication of thoracoabdominal aortic aneurysm repair and is associated with profound morbidity and mortality. The purpose of this study was to describe pr... We used a pooled dataset from nine US Aortic Research Consortium centers involved in investigational device exemption trials for treatment of suprarenal and thoracoabdominal aortic aneurysms. SCI was ... A total of 1681 patients underwent branched/fenestrated endovascular aortic repair from 2005 to 2020. The overall rate of SCI was 7.1% (3.0% transient and 4.1% permanent). Predictors of SCI on multiva... The overall rates of any SCI at 7.1% and permanent deficit at 4.1% observed in this study compare favorably with those reported in contemporary literature. Our findings confirm that increased length o...

Effect of Sarcopenia on Mortality and Spinal Cord Ischaemia After Complex Aortic Aneurysm Repair: Systematic Review and Meta-Analysis.

Sarcopenia has been related to higher mortality rates after abdominal aortic aneurysm repair. This analysis aimed to assess sarcopenia related mortality and spinal cord ischaemia (SCI) at 30 days, and... A search of the English literature, via Ovid, using Medline, EMBASE, and CENTRAL up to 15 June 2022 was done.... This meta-analysis was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines and preregistered in PROSPERO (CRD42022338079). Observational s... Four retrospective studies (1 092 patients; 40.0% sarcopenic) were included. Thirty day mortality was similar, with low certainty between groups (6% [95% CI 1 - 11] in sarcopenic vs. 5% [95% CI 1 - 9]... Early mortality does not appear to be affected by sarcopenia in patients treated for thoraco-abdominal aneurysms. However, sarcopenia may be associated with higher peri-operative SCI and midterm morta...

Acute Paraplegia Result from Spinal Ischemia Nine Years After Hybrid Total Arch Repair with Frozen Elephant Trunk: A Case Report.

Spinal cord ischemia due to decreased cord perfusion is a devastating complication in patients with thoracoabdominal dissection following frozen elephant trunk (FET) repair surgery. However, rare occu...

Amantadine's neuroprotective effects in rabbit spinal cord ischemia/reperfusion model.

This study used an experimental rabbit spinal cord ischemia-reperfusion injury (SCIRI) model to examine the effects of amantadine, a drug with neuroprotective and anti-inflammatory activities, on oxid... Rabbits were randomized into five groups: control, ischemia, vehicle, methylprednisolone (MP), and amantadine (AMT). At 24th-hour neurological examination was performed, spinal cord tissue was collect... When ischemia and vehicle groups were compared with control group, significant increase was seen in serum and tissue caspase-3, malondialdehyde (MDA), and myeloperoxidase (MPO) levels (p 0.001); signi... In this study we demonstrated, for the first time in the literature, the antioxidant, anti-inflammatory, anti-apoptotic, and neuroprotective effects of AMT on SCIRI using biochemical, microscopic, and...