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Vascular myelopathy is a medical condition that involves the spinal cord and the blood vessels that supply it. This condition can lead to a variety of symptoms, including weakness, numbness, and difficulty with coordination.
Causes
Vascular myelopathy can be caused by a variety of factors. These include vascular malformations, spinal cord infarction, and spinal cord hemorrhage. Other potential causes include arteriovenous malformations, dural arteriovenous fistulas, and spinal cord tumors.
Symptoms
The symptoms of vascular myelopathy can vary depending on the specific cause and the area of the spinal cord that is affected. Common symptoms include:
- Weakness or paralysis of the limbs
- Numbness or tingling in the limbs
- Difficulty with coordination and balance
- Pain in the back or neck
- Bladder or bowel dysfunction
Diagnosis
Diagnosis of vascular myelopathy typically involves a combination of medical history, physical examination, and imaging studies. Magnetic resonance imaging (MRI) is often used to visualize the spinal cord and the blood vessels that supply it. In some cases, a spinal angiogram may be performed to provide a more detailed view of the blood vessels.
Treatment
Treatment for vascular myelopathy depends on the underlying cause. In some cases, surgery may be necessary to correct a vascular malformation or remove a tumor. Other treatments may include medication to manage symptoms, physical therapy to improve strength and coordination, and lifestyle modifications to reduce the risk of further damage to the spinal cord.
See also
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Contributors: Prab R. Tumpati, MD