Funicular m myelosis is usually called a subacute or chronic disease in the spinal cord, which has a moderate or severe gliosis, due to the insufficiency of vitamin B12.
An affliction affecting the spinal cord appears as a result of a constant shortage of vitamin B12 in the human body. It is characterized by a disorder of sensitivity and motor function.
Most often, together with funicular myelosis, the patient suffers from anemia, leukemia, achilles. Less often the disease is manifested when resection of the stomach. In a person afflicted with myelosis, both posterior and lateral columns in the spinal cord can be affected.
Violation most often can make itself felt in middle age - from 30 to 60 years. Although the violation often affects people from 30 years old, it can manifest themselves in babies.
Why is a violation of
The main cause of the disease is considered to be a deficiency in a person's vitamin B12 and folic acid. Less often myelosis occurs against the background of a lack of one single element.
Vitamin B12 removes from the body the factor of the Castle, which is produced by the stomach. If it is not in the body, the intestine does not take vitamin, because of what it does not enter the liver and does not process folic acid into folinic acid. Namely, folinic acid produces erythrocytes in the spinal cord.
Lack of the necessary vitamin is more often observed in people prone to vegetarian food, excluding from the diet sour - milk products. The intestine does not absorb cyanocobalamin with such ailments as Achilles, Crohn's disease, gastroectomy, pellagra, enteritis, diverticulosis of the intestine.
In addition, funicular myelosis can begin with a background of problems with the immune system. Many patients are diagnosed with various gastritis, and plasma is rich in antibodies that interfere with the normal functioning of Castle's internal factor.
Features of clinical picture
An experienced specialist notes the following symptoms:
- headache and dizziness;
- memory problems and apathy;
- poor sleep at night and the need to sleep during the day;
- appetite impairment;
- changes in taste, bitterness;The
- language becomes numb and changes its color;
- pallor of the skin;
- weakness, fatigue, "weakness";
- edema of the face;
- increased excitability, loss of attention.
After all these signs may appear a shaky walk, loss of coordination when walking. Often doctors note the following reflexes of the feet:
- Babinsky Reflex - the first finger on the foot becomes level and rises. And the rest of the fingers are scattered around the shape of the fan. This phenomenon is often observed in newborns, but by the 2 years of life it should disappear.
- Rossolimo Reflex - 2,3,4 and 5 fingers are bent when tapping them with a special hammer.
- Bechterew - Mendel Reflex - these same fingers are bent when striking the sole.
How the
is diagnosed The specialists in the early stages of the diagnosis of the disease identify the following factors:
- disorders of the neurological nature of , which are caused by problems with the spinal cord against the backdrop of Achilles and anemia or macrocytosis;
- is performed by with a special puncture and the detection of the megablast in the bone marrow.
Diagnosis of myelosis does not present any difficulties in the case when neuralgia develops with pernicious anemia.
Differential diagnosis of myelosis from other disorders:
- The main differences from polyneuropathy are pyramidal disorders.
- The diagnosis is much harder to make when the disease occurs without the symptoms of anemia. Here, the patient has to be fully examined in order to find the achiral gastritis and the megablasts .
- Spinal cord lesions with syphilis differs from funicular myelitis after the Wasserman reaction: it is positive for syphilis.
- In addition, the disease should be distinguished from various tumors and myelopathy .In this case, the analysis of cerebrospinal fluid and myelography is appropriate.
When diagnosing myelitis, a specialist should be based on whether the patient has a neurological disorder that occurs due to problems with the spinal cord. Examinations of the organism make it possible to distinguish myelosis from many other ailments.
Another indicator to which you should pay special attention is the presence of vitamin B12 in the serum. In patients with myelitis, it is reduced, and this indicates that the patient has an avitaminosis.
Shilling test indicates a lack of Castle factor. Biochemical blood test indicates the content of homocysteine in the body.
Treatment of a disorder
Therapy of a disease must necessarily be general and consist of a conservative treatment that replenishes the lack of vitamin B12.
In the event that a person experiences a folate deficiency, then he is obliged to drink folic acid up to 6 times a day. If you drink this remedy for another disease, it often causes some complications.
Funicular myelosis is characterized by increased muscle tone. To combat this phenomenon, a professional set of physical exercises, rest in a sanatorium, massage and manual therapy was developed. Of the drugs should take the following:
- Midokalm;
- Baclofen;
- Sibazon;
- Nootropics.
For fast treatment of myelitis, it is very important to drink vitamins and adhere to a special diet. A person needs to prescribe vitamins B1 and B6 and the drug Phosphaden 3 times a day for 1, 5 months. You should eat a lot of sea fish, meat, soy, beans, cereals, nuts, pistachios and offal.
If the therapy is started a few weeks after the manifestation of the disease, it guarantees complete recovery of the patient. At a later start of treatment, the condition may temporarily improve and stabilize. Symptoms should go away after six months of drug treatment.
What are the consequences of
Before the doctors began to practice vitamin B12, malignant anemia resulted in death in most cases.
Today, when the intake of vitamins is very popular in the treatment of myelosis, the fate of many people has changed dramatically.
Vitamin B12 also treats neurological disorders well. At present, such manifestations of the disease as disorders in the pelvis, bedsores and paraplegia have practically disappeared.
How to avoid violation of
From all possible methods of disease prevention, today's medicine only notes careful care of its body and immediate visits to the clinic with symptoms of various types of anemia.
Approximately 75% of patients who became timely to treat the disease, fully recovered. The remaining 25% constantly take vitamin B12 and all of the above preparations under the strict supervision of the attending physician.
Funicular myelosis is still not fully understood. According to statistics, very often they suffer from vegetarians and people who do not drink milk.
Besides this, people from Sakhalin and Yakutia, who eat raw fish and caviar, suffer from myelosis. This is because such food can lead to infections with helminth diseases, which lead to pernicious anemia.
This ailment is treated quite difficult and very long, so a person needs to have time and patience. The body recovers somewhat faster if the therapy is combined with gymnastics, massage, proper daily routine, diet and manual therapy.
It is worth remembering that the key to complete recovery is to go to the clinic for adequate treatment at the first suspicion of any ailment.
Do not try to treat yourself and take medication without consulting with professionals. It can not heal, but on the contrary - only to harm the body. Watch your health, lead a healthy lifestyle, and the disease will necessarily recede.