Spinal cord injuries and orgasm: a review

Definitions of orgasm remain varied, and physiologic markers have not been standardized or consistently applied. The occurrence of orgasm after spinal cord injury (SCI) has been documented for a number of years; however, in the recent past, the neurologic and autonomic correlates associated with orgasm after SCI have been investigated. In this article we review recent studies pertaining to the occurrence of orgasm after SCI. Laboratory-based assessments of orgasmic responsiveness of women and men with known levels and degrees of SCI have shown the effects of orgasm on peripheral autonomic responses and the effects of varying injury patterns on the ability to achieve orgasm. A spinal pattern generator has also been identified that mediates ejaculation in male rats and responses similar to orgasm in female rats. Taken together, these findings suggest that retraining reflexic orgasm through vibratory or other forms of neural stimulation may provide a means to remediate orgasmic dysfunction in persons with SCI.     

脊髓结核瘤

椎管内结核 ,主要由于结核杆菌侵犯脊髓及脊髓膜 ,引起感染性肉芽肿所致。尽管髓内及脊髓硬膜下结核瘤都是十分罕见的神经系统疾病 ,但其在脊髓压迫症的鉴别诊断方面 ,仍然具有一定的重要性。脊髓内结核瘤 (IMT)自Aberrombie于 182 8年[1,2 ] 和Serre于 1830年[3 ] 分别率先报告以来 ,于196 0年Lin等[4] 复习文献 10 5例IMT ,并对其发病机制、临床表现作了较为详细的讨论 ;迨至 1990年MacDonell收集文献 14 8例[2 ] 。尽管本病在发达国家较为罕见 ,但在发展中国家仍不断有个案报道 ,尤其影像学的进步 ,临床诊断率已大大提高。国内报告…     

Spinal cord tethering

Tethering of the spinal cord is an insidious cause of worsening incontinence that requires urgent medical assessment and possibly surgical intervention to prevent any further deterioration. Clinicians monitoring young people and adults with spina bifida need to maintain a high degree of suspicion to ensure the early detection of tethered cord syndrome to help promote and maintainindependent living.     

Spinal cord physical-functional assessment model

The study describes semiological methods that must be employed in posture and spinal cord evaluation, considering primary health care. The methods used in this study involve the patient's history, and a specific physical examination which includes a static inspection, posture examination, dynamic inspection, palpation, muscle strength and flexibility assessment, neurological examination and special tests.     

脊柱损伤的护理体会

目的:探讨脊柱损伤患者的围手术期护理干预,促使早日康复。方法:42例脊柱损伤患者围手术期采取积极的综合护理措施,包括术前心理护理,稳定脊柱;术后注意加强功能锻炼和预防并发症等。结果:患者经过积极急救和围手术期精心的综合护理均恢复良好,无l例神经损伤加重和死亡。结论:正确的脊柱损伤急救和完善的围手术期护理是保证脊柱手术成功的关键因素之一。     

Spinal cord complications of acute schistosomiasis mansoni

5 cases of clinically unsuspected involvement of the spinal cord by S. mansoni are reported. In contrast to the cases usually described in the literature, the nervous system involvement was observed during the acute phase of the infection. One of the patients exhibited a clinical picture closely resembling that of the Guillain-Barré syndrome, and cure was not dependent upon the use of corticoid hormone or antischistosomal therapy. 2 other patients improved after neurological involvement (paraparesis and paraplegia) following the completion of specific treatment (hycanthone). The sudden appearance of a polyradiculoneuritis syndrome was observed in 1 patient during treatment with niridazole. In another patient who developed a sudden transverse myelitis at T.11 with flaccid paraplegia, antischistosomal therapy apparently did not influence the course of the neurological process.It is suggested that the nervous system involvement in the reported cases cannot be explained entirely by the mechanical action of eggs and worms and the resultant granuloma formation. In the authors' opinion an anomalous response of the nervous system to the immuno-allergic products derived from dead worms and; or their eggs probably was responsible for the clinical manifestations of spinal cord involvement.     

脊髓传导路模型的设计与制作

目的：探讨手工制作脊髓传导路模型应用于解剖实验教学。方法：运用有机玻璃、铁丝、油漆及其它材料通过手工制作完成。结果：利用制作放大后的方式清晰地展示脊髓传导路途径,制作后的模型路径清晰,经济实用,取得了较好的教学效果。