Acilde Nontravmatik Spinal Hastalıklar: Tanı ve Tedavi
Özet
Nontravmatik spinal hastalıklar (NTSH), ani ve ciddi nörolojik belirtilerle ortaya çıkan, nadir ve acil müdahale gerektiren durumlardır. Bu hastalıklar, travmatik olmayan nedenlerle omuriliğin hasar görmesi sonucu gelişir ve bazı durumlarda ileri evre kanser gibi komorbiditelerle ilişkilidir. Nörolojik muayene ve görüntüleme yöntemlerinin etkin kullanımı, NTSH’nin erken teşhis ve tedavisinde büyük önem taşır. Omurganın acil manyetik rezonans görüntülemesi, epidural apse, metastatik kompresyon ve epidural hematom gibi ekstramedüller kompresyon nedenlerini, transvers miyelit ve omurilik enfarktüsü gibi intramedüller etiyolojilerden ayırt eder. Ek tetkikler ve acil dekompresif cerrahi genellikle gereklidir.
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