A common problem in spinal cord injury is difficulty with evacuation of stool, although fecal incontinence can also occur. Bowel FunctionĪnother major area of concern is effective management of bowel function. Urodynamic testing is necessary to determine urine retention to check risk for urinary tract infections, particularly if there is a history of UTIs to guide the urologist in terms of the best management. Working with a good urologist is imperative to prevent potential serious complications, particularly one who understands spinal cord disease. Treating incontinence, frequency, and nocturia is often easier than treating hesitancy and retention, where clean intermittent urinary catheterizations are the basic component to success. Common bladder problems include incontinence, frequency, nocturia (frequent urination at night), hesitancy, and retention. Surgical options may be appropriate for some people. Depending on the dysfunction, treatment options include timed voiding, medicines, external catheters for males (a catheter connected to a condom), padding for women, intermittent internal self-catheterization, an indwelling catheter or electrical stimulation. An overly distended bladder increases the likelihood of urinary tract infections and, in time, may threaten the health of the kidneys. The bladder can become overly sensitive and empty after only a small amount of urine has collected, or relatively insensitive, causing the bladder to become over extended and overflow. When the spinal cord is damaged, two general problems can affect the bladder. Furthermore, patients who fully recover vision after optic neuritis may experience transient returns of blurred vision during times of stress, exertion, or heat exposure. Patients can possibly note blurred vision, loss of color vision, difficulty with depth perception and glares or halos around lights at night. Visual Issuesįor patients who have had optic nerve inflammation, residual vision loss can be experienced. During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. In addition to chronic medical problems, there are the ongoing issues of ordering the appropriate equipment, reentry into school, re-socialization into the community, and coping with the psychological effects of this condition by the patients and their families. These are the residual effects of any spinal cord injury or injury to the optic nerve. The long-term management of MOGAD requires attention to a number of issues. Assessment and fitting for splints designed to passively maintain an optimal position for limbs that cannot be actively moved is an important part of the management at this stage.
MOG DISEASE LIFE EXPECTANCY SKIN
It is important to begin occupational and physical therapies early during the course of recovery to prevent the inactivity-related problems of skin breakdown and soft tissue contractures that lead to a decreased range of motion. The physical issues include bowel and bladder management, sexual dysfunction, maintenance of skin integrity, spasticity, activities of daily living (i.e., dressing), mobility, and pain. However, much has been written regarding recovery from spinal cord injury (SCI), in general, and this literature applies. There is very little written in the medical literature specifically dealing with rehabilitation after MOGAD. 2022 Rare Neuroimmune Disorders SymposiumĪfter the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations.COVID-19 and Rare Neuroimmune Disorders.
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