Table of Contents
What is the treatment for dural ectasia?
The majority of patients are treated conservatively with pain control medications, physiotherapy, and other physical modalities, with often incomplete control of patients’ pain. Surgical repair of the dura may provide symptomatic relief for some patients.
Can dural ectasia be fixed?
Dural ectasia can in some cases be so expansive to the spinal canal that the spinal cord is not injured, even if extreme tortuosity or spine dislocation has developed. The treatment is traction followed by fusion.
What does dural ectasia feel like?
Based on our findings, a “classic” picture of dural ectasia in the Marfan patient may consist of low back pain, headache, proximal leg pain, weakness and numbness above and below the knee, and genital/rectal pain.
What is dura ectasia?
Dural ectasia-refers to ballooning or widening of the dural sac and is associated with herniation of nerve root sleeves. Greater than normal volume of CSF in the lumbar theca is postulated to restrict the spread of the intrathecally injected LA and is thought to be one of the main reason for spinal anaesthesia failure.
Does dural ectasia worsen?
Purpose: To evaluate the natural history of dural ectasia in adults with Marfan syndrome by determining if, over time, symptoms associated with dural ectasia worsen, dural ectasia imaging findings worsen, or spondylolisthesis/spondylolysis develops or worsens.
How does Marfan progress?
In most cases, Marfan syndrome progresses as individuals grow older. In some infants, Marfan syndrome may cause severe, rapidly progressive complications during infancy, often quickly affecting multiple organ systems early in life.
How long will you live if you have Marfan syndrome?
The expected lifespan of a person with Marfan syndrome used to be around the mid-40s age group, but now extends into the 70s – which is comparable to the general population.
Can Marfan syndrome cause headaches?
People with Marfan syndrome are at particular risk of developing dural ectasia. As the membrane expands, it can press on the vertebrae in your lower back, which can cause: backache. headache.
Is there a cure coming soon for Marfan syndrome?
While there is no cure for Marfan syndrome, treatment focuses on preventing the various complications of the disease. To accomplish this, you’ll need to be checked regularly for signs that the damage caused by the disease is progressing.
What are some treatment options for Marfan syndrome?
While there is no cure for Marfan syndrome, treatment focuses on preventing the various complications of the disease….Depending on your signs and symptoms, procedures might include:
- Aortic repair.
- Scoliosis treatment.
- Breastbone corrections.
- Eye surgeries.
What are the most serious complications of Marfan syndrome?
The most dangerous complications of Marfan syndrome involve the heart and blood vessels. Faulty connective tissue can weaken the aorta — the large artery that arises from the heart and supplies blood to the body. Aortic aneurysm.
What treatments would a cardiologist recommend for Marfan syndrome?
The most common treatments for Marfan syndrome include:
- Medications to lower your blood pressure.
- Medications to make your heart beat slower and help avoid stressing the aorta (the large artery that carries oxygen-rich blood to your body)
- Treatments for complications that may affect your lungs, spine, or eyes.
Is Dural ectasia a characteristic feature of Marfan syndrome?
Although dural ectasia is a characteristic feature of Marfan syndrome, it might also be present in other connective tissue disorders such as Loeys-Dietz syndrome or vascular Ehler-Danlos syndrome (Loeys et al., 2010 ).
Can Mr Show Dural ectasia in lower back pain?
Dural ectasia occurs in approximately 90% of Marfan patients, and its severity increases with aging. 3 It can also be present for a long time without producing any noticeable symptoms. 3 Therefore, finding dural ectasia on MR investigation alone is not a valid explanation of lower back or sacral pain. 4
What are the causes of Dural ectasia?
In this disease, presentation of the symptomsalways involve an underlying cause which may include; Marfan syndrome is considered to be the most common cause as 63-92% of the population having Marfan syndrome may present dural ectasia. Traumas can be a reason for dural ectasia but generally, it is considered as a very rare condition
What are the treatment options for Dural ectasia?
Dural ectasia can in some cases be so expansive to the spinal canal that the spinal cord is not injured, even if extreme tortuosity or spine dislocation has developed. The treatment is traction followed by fusion.