Injury or disease to the nervous system can affect the ability to move a part of the body. This reduced motor ability is called paralysis. Paraplegia—paralysis of both legs
Quadriplegia, sometimes called tetraplegia—paralysis of both legs
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Quadriplegia and paraplegia are most often caused by spinal cord injuries. But, they can also be caused by diseases, such as: Multiple sclerosisAmyotrophic lateral sclerosis (ALS)
, also known as Lou Gehrig’s disease
Most spinal cord injuries are caused by accidents, such as car crashes, falls, and sports injuries.
Whether it is paraplegia or quadriplegia depends on
the location along the spine where the injury occurs: Paraplegia—damage below the neckQuadraplegia—damage to the spinal cord at the base of the skull or neck
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If you have any of these symptoms do not assume it is due to these conditions. These symptoms may be caused by other conditions. Factors that put you at risk for quadriplegia and paraplegia include: Jobs or sports activities that increase your chances of spinal injury—high-risk sports, such as football, rugby, wrestling, gymnastics, diving, surfing, ice hockey, and downhill skiingFamily history of certain inherited nerve diseasesHistory of cancer—can cause compression of the spinal cord
Paralysis due to spinal cord injuries may be total or partial. This depends on how much of the spinal cord is damaged. In addition to paralysis of the arms and/or legs, you may also suffer from: Incontinence
—bladder or bowel
Sexual dysfunction —
femaleTrouble breathingDifficulty sitting upright depending on the level of the damage
Inactivity due to paraplegia and quadriplegia can cause additional problems, like: Bed soresSpastic limbsPneumoniaUrinary tract infectionWeakened bonesChronic pain
People with paraplegia and quadriplegia may also become
Social isolationLack of emotional supportIncreased dependence on others
Diagnosis involves finding out where and how badly the brain and spinal cord are damaged. To do this, doctors will likely do the following tests:
Images may be taken of your bodily structures. This can be done with:
CT scanMRI scanMyelography (rarely used)
Your nerve function may be tested. This can be done with:
Nerve conduction studySomatosensory evoked potentials (SSEPs) (rarely used)
Your bodily fluids may be tested. This can be done with a
if some specific neurologic diseases are suspected.
Immediate treatment of spinal cord injuries includes bracing the bony spine to keep it from moving and further injuring the spinal cord. Steroids and other medications may be used to lessen damage to nerves and nearby tissue.
Recovery and rehabilitation usually begins in the acute care hospital setting. Depending on the cause and extent of the condition, this involves: MedicationsSurgeryIntensive physical therapyCounseling
During this time, patients are fitted for mobility aids, including wheelchairs. For most people, the majority of recovery happens within the first year.
The following measures are advised to reduce your chance of getting a spinal cord injury: Drive safely. Motor vehicle accidents are the leading cause of spinal cord injuries. Wear a seat belt every time you drive. Make sure your children wear seat belts or are in child safety seats. Don't drive if you have been drinking or using drugs.Be safe with firearms. Lock guns and ammunition in a safe place. Store them separately in locked containers.Take measures to avoid falls.
Use a stool or stepladder to reach high places. Add handrails along stairways. Place nonslip mats in your bathroom, shower, and under carpets. To keep children safe, use safety gates to block stairs. Install window guards.
Always wear safety gear when playing sports. Avoid headfirst moves, such as:
Diving into shallow waterSpear tackling in footballSliding headfirst in baseballSkating headfirst into the boards in ice hockeyUse a spotter in gymnastics. Do not jump from very high places.
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Spinal cord injury—acute management. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated December 10, 2013. Accessed November 23, 2014.
Spinal cord injury—chronic management. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated August 11, 2014. Acce4ssed November 23, 2014.
Last reviewed December 2014 by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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