{"id":1263,"date":"2023-10-26T11:51:39","date_gmt":"2023-10-26T09:51:39","guid":{"rendered":"https:\/\/ifevet.com\/fr\/?p=1263"},"modified":"2025-01-14T17:36:58","modified_gmt":"2025-01-14T16:36:58","slug":"traumatisme-rachidien","status":"publish","type":"post","link":"https:\/\/ifevet.com\/fr\/traumatisme-rachidien\/","title":{"rendered":"Traumatisme rachidien"},"content":{"rendered":"<p>La gravit\u00e9 et l&#8217;\u00e9tendue de la l\u00e9sion de la moelle \u00e9pini\u00e8re d\u00e9terminent l&#8217;apparition de situations cliniques particuli\u00e8res avec des signes caract\u00e9ristiques tels que :<\/p>\n<ul>\n<li><strong>Posture de Schiff-Sherrington:<\/strong> le patient est en d\u00e9cubitus lat\u00e9ral, avec une hypertonie des extenseurs des membres thoraciques (maintien de la motricit\u00e9 volontaire), une hypotonie des membres pelviens avec normor\u00e9flexie (r\u00e9flexes spinaux intacts) et une tendance \u00e0 l&#8217;opisthotonos.<\/li>\n<li><strong>Choc spinal:<\/strong> perte des r\u00e9flexes spinaux, de l&#8217;activit\u00e9 motrice et sensorielle au niveau caudal d&#8217;une l\u00e9sion de la moelle \u00e9pini\u00e8re T3-L3. Il se manifeste par une paralysie flasque, une hypo\/ar\u00e9flexie et une \u00e9ventuelle perte de sensibilit\u00e9 caudale par rapport \u00e0 la l\u00e9sion.<\/li>\n<li><strong>My\u00e9lomalacie:<\/strong> perte de la sensibilit\u00e9 profonde, migration cr\u00e2nienne du r\u00e9flexe tronculaire cutan\u00e9, apparition de signes de NMI dans les membres pelviens, hypotonie du sphincter anal, atteinte des membres thoraciques et enfin d\u00e9tresse respiratoire due \u00e0 la faiblesse des muscles intercostaux et diaphragmatiques.<\/li>\n<\/ul>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1264 size-full\" src=\"https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/traumatisme-rachidien.jpg\" alt=\"\" width=\"469\" height=\"401\" srcset=\"https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/traumatisme-rachidien.jpg 469w, https:\/\/ifevet.com\/fr\/wp-content\/uploads\/sites\/11\/2023\/10\/traumatisme-rachidien-300x257.jpg 300w\" sizes=\"(max-width: 469px) 100vw, 469px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La gravit\u00e9 et l&#8217;\u00e9tendue de la l\u00e9sion de la moelle \u00e9pini\u00e8re d\u00e9terminent l&#8217;apparition de situations cliniques particuli\u00e8res avec des signes caract\u00e9ristiques tels que : Posture de Schiff-Sherrington: le patient est en d\u00e9cubitus lat\u00e9ral, avec une hypertonie des extenseurs des membres thoraciques (maintien de la motricit\u00e9 volontaire), une hypotonie des membres pelviens avec normor\u00e9flexie (r\u00e9flexes spinaux [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1264,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[],"class_list":["post-1263","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contenu-clinique"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - 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