Spinal Cord Hemorrhage Follow-up

Updated: Feb 19, 2019
  • Author: Morteza Sadeh, MD, PhD, MS; Chief Editor: Helmi L Lutsep, MD  more...
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Follow-up

Further Outpatient Care

Once the patient with spinal cord hemorrhage has been treated, whether medically, via interventional radiology, or surgery, rehabilitative care can begin, depending on the nature of the spinal cord injury. Usually such care is initiated in an inpatient rehabilitation setting.

After the patient is discharged from inpatient care, outpatient therapies continue. Medical treatments are frequently necessary for the late complications of spinal cord hemorrhage, especially spasticity, pain, and neurogenic bladder.  

It is not unusual for patients to have residual myelopathy, weakness, or bladder dysfunction even after receiving optimal intervention to stop the cause of hemorrhage and even decompress the spinal cord.

As with other types of spinal cord injury, outpatient follow-up is also important to identify any new or unexpected sequelae (such as urinary tract infection; deep venous thrombosis), and to monitor the progress of recovery and rehabilitation. Patients may experience significant improvements in strength and sensation, but these again depend on factors such as extent and level of injury, and existing comorbidities. [29, 31, 32, 33, 34, 35, 36, 37]

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Deterrence/Prevention

Given the varying etiologies of spinal cord hemorrhage, efforts at prevention would depend on the causative factor. For instance, the pros and cons of lumbar puncture in patients with hematologic disorders or in those treated with anticoagulants (as well as the risks of reversing anticoagulation) should be carefully considered.  

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Prognosis

 

 

 

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