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Doctor insights on: Systemic Lupus Spinal Cord Lesions

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Can lupus attack the spinal cord?

Can lupus attack the spinal cord?

Yes: Systemic lupus erythematosis is an auto-immune disorder (antibodies attack the body's own connective tissue in multiple organs). It can be anything from a very mild disorder to one which affects the kidneys, skin, joints, linings of heart or lungs, heart, etc. And yes, the central or peripheral nervous system, including spinal cord. There are many different neurologic manifestations of lupus. ...Read more

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Systemic (Definition)

A condition that involves the whole body as compared to a part of the body. For example diabetes ...Read more


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What causes spinal stenosis in someone who is 44? I also have lupus & ra. The pain has been debilitating for two weeks now, what are my options?

What causes spinal stenosis in someone who is 44? I also have lupus & ra. The pain has been debilitating for two weeks now, what are my options?

Many prospects: Stenosis may be caused by any structure that occupies space in the spinal canal leading to crowding of the nerve roots. This could include bulging/herniating discs, thickening of the joints or ligaments and the presence of cysts. This can occur with a single entity or any combination of structures. However, pain may also not be due to stenosis. It could be inflammation, poor blood flow, etc. ...Read more

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I am 46 years old. I have ra, lupus, spinal stenosis and a collapsed disc. I am afraid of both getting and not getting afusion done. What are its pros and cons?

I am 46 years old. I have ra, lupus, spinal stenosis and a collapsed disc. I am afraid of both getting and not getting afusion done. What are its pros and cons?

You are a high risk : Patient for surgery in terms of wound healing issues, infection and fusion success. That does not mean surgery should not be done if truly indicated and needed understanding this risk. You should get a second opinion and make sure you have exhausted all non op options and discuss various surgical options to minimize risk and increase success rate. ...Read more

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I have many chronic conditions. Lupus, spinal stenosis, djd, fibromyalgia, degenerative disc disease. My husband doesn't understand my pain. Any ideas?

I have many chronic conditions. Lupus, spinal stenosis, djd, fibromyalgia, degenerative disc disease. My husband doesn't understand my pain. Any ideas?

Go to doc with you: Have your husband attend your appointments with you. Ask the physician, physical therapist, etc. To explain the nature of the conditions to your husband, including the associated pain and toll it takes on you physically and mentally. Seeing a marriage counselor/psychologist could also be helpful. ...Read more

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What are the most common spinal cord lesions/diseases in infants?

What are the most common spinal cord lesions/diseases in infants?

Type 0 SMA: is the most common. The literature suggests there should be absent reflexes but this is not always the case. Autosomal dominant condition with 1/80 carrier state. There is a blood test for this. ...Read more

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Dr. Bennett i. Machanic I have 2 MRI images cervical, how can I get these images to you to see if what i see on spinal cord are in fact lesions?

Dr. Bennett i. Machanic I have 2 MRI images cervical, how can I get these images to you to see if what i see on spinal cord are in fact lesions?

We have a : Message center, and many patients send directly via this private link. You can contact the webmaster for more specific information, but would be happy to review and provide my opinion. Hope to solve your problems. ...Read more

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Is it unusual to have MS lesions only in the spinal cord, but not in the brain?

Is it unusual to have MS lesions only in the spinal cord, but not in the brain?

Does happen: Far less common presentation, but several patients may have initial lesions in spinal cord. However, here's the main challenge: a condition called neuro-myelitis optica might present this way also, and the drugs for ms would make things worse, so get an aquaporin 4 study to make things more precise. ...Read more

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Can MS show lesions only in the brain and not in the spinal cord? And what type of MS would this be?

Can MS show lesions only in the brain and not in the spinal cord? And what type of MS would this be?

See below: If you have optic neuritis and suspicious lesions in the brain, you have a very high chance of having multiple sclerosis. The absence of lesions in spinal cord is not exclusionary. Although other disorders may cause your issues, would get diagnosis confirmed, and start a potent MS agent ASAP, if that seems to be answer. ...Read more

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Can MS lesions be just in spinal cord not brain or visa versa? Also does MS always show up in spinal fluid?

Can MS lesions be just in spinal cord not brain or visa versa? Also does MS always show up in spinal fluid?

Yes: MS which only shows up in spinal cord can be Devic's syndrome, or spinal MS. Sometimes an antibody can confirm Devic's (70 percent have NMO antibody). No MS does not always show abnormalities in the spinal fluid (at least 10 percent are normal). ...Read more

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