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See also: spinal cord
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In the acute variety the nerve elements in the affected See also: part become disintegrated and softened, but repair may take place; in the chronic See also: form the change is slower, and the diseased See also: area tends to become denser (sclerosed), thenerve-substance being replaced by connective tissue
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See also: Myelitis may affect any portion of the spinal cord, and its symptoms and progress will vary accordingly
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Its most frequent site is in the See also: lower part, and its existence there is marked by the sudden or gradual occurrence of weakness of motor power in the legs (which tends to pass into See also: complete paralysis), impairment or loss of sensibility in the parts implicated, nutritive changes affecting the skin and giving rise to See also: bed-sores, together with bladder and bowel derangements
.
In the acute form, in which there is at first See also: pain in the region of the spine and much constitutional disturbance, See also: death may take place rapidly from extension of the disease to those portions of the cord connected with the muscles of respiration and the See also: heart, from an acute bed-sore, which is very See also: apt to form, or from some intercurrent disease
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Recovery to a certain extent may, however, take place; or, again, the disease may pass into the chronic form
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In the latter the progress is usually slow, the general See also: health remaining tolerably See also: good for a See also: time, but gradually the strength fails, the patient becomes more helpless, and ultimately sinks exhausted or is cut off by some complication
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The chief causes of myelitis are injuries or diseases affecting the spinal See also: column, extension of inflammation from the membranes of the cord to its substance (see 1'VIENINGITIS), exposure to cold and See also: damp, and occasionally some pre-existing constitutional morbid condition, such as syphilis or a fever
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Any debilitating cause or excess in mode of See also: life will See also: act powerfully in predisposing to this malady
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The disease is most See also: common in adults
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The treatment for myelitis in its acute stage is similar to that for spinal meningitis
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When the disease is chronic the most that can be hoped for is the See also: relief of symptoms by careful See also: nursing and See also: attention to the condition of the See also: body and its functions
.
Good is sometimes derived from See also: massage and the use of See also: baths and douches to the spine
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