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Заболевание не является самостоятельным, а развивается вследствие прогрессирования основной патологии [7](https://MCSvoboda.ru/mielopatiya-shejnogo-otdela-pozvonochnika.html). \n\nВыделяют локализацию миелопатии в шейном, грудном и поясничном отделах [5](https://creab.vyb.gov.spb.ru/stati/osnovnye-projavlenija-mielopatii-i-lechenie--s-pomoschju-adaptivnoj-fi/).\n\n\n\n## Причины\nНекоторые причины миелопатии: \n* **Патологии позвоночника**: дегенеративные изменения (например, остеохондроз), межпозвоночные грыжи [8](https://teledoctor24.ru/article/668-mielopatiya/)[9](https://nevrocel.ru/blog/porazheniya-spinnogo-mozga). \n* **Травмы позвоночного столба**: переломы, вывихи и подвывихи позвонков, компрессионные переломы позвоночника [9](https://nevrocel.ru/blog/porazheniya-spinnogo-mozga). \n* **Сосудистые заболевания**, нарушающие кровоснабжение спинного мозга: атеросклероз, тромбоз [6](https://institut-clinic.ru/mielopatiya/). \n* **Инфекции**: чаще всего к повреждениям мозга приводит вторичное инфицирование, например, при нейросифилисе, болезни Лайма, туберкулёзе [8](https://teledoctor24.ru/article/668-mielopatiya/). \n* **Другие причины**: аутоиммунные заболевания, остеомиелит, злокачественные и доброкачественные опухоли, неправильное проведение медицинских манипуляций (например, люмбальной пункции) [8](https://teledoctor24.ru/article/668-mielopatiya/).\n\n## Симптомы\nПроявления миелопатии разнообразны и зависят от формы, локализации поражения и причины [12](https://polyclinika.ru/tech/mielopatiya-simptomy-i-lechenie/). Некоторые общие симптомы: \n* боль в спине в месте поражения [12](https://polyclinika.ru/tech/mielopatiya-simptomy-i-lechenie/); \n* уменьшение силы конечностей, снижение их функциональной активности: нарушение походки, трудности при письме или одевании [12](https://polyclinika.ru/tech/mielopatiya-simptomy-i-lechenie/); \n* нарушение всех видов чувствительности в руках и ногах [12](https://polyclinika.ru/tech/mielopatiya-simptomy-i-lechenie/); \n* расстройства мочеиспускания и дефекации [12](https://polyclinika.ru/tech/mielopatiya-simptomy-i-lechenie/). \n\nПри острой миелопатии (травма, инфаркт спинного мозга) симптомы возникают внезапно, быстро прогрессируют [11](https://fnkc-fmba.ru/zabolevaniya/mielopatiya/). При хронических формах (остеохондроз, спондилёз) признаки миелопатии развиваются постепенно: сначала появляется лёгкая слабость в ногах, онемение в них, затем присоединяются спастичность, нарушение мочеиспускания [11](https://fnkc-fmba.ru/zabolevaniya/mielopatiya/).\n\n## Диагностика\nПри подозрении на миелопатию необходимо обратиться к неврологу [3](https://www.OnClinic.ru/mielopatiya/). Некоторые методы диагностики: \n* **Неврологический осмотр**: оценка мышечной силы, рефлексов, чувствительности и координации [11](https://fnkc-fmba.ru/zabolevaniya/mielopatiya/). \n* **МРТ** — «золотой стандарт» диагностики, позволяет визуализировать компрессию спинного мозга (грыжи, опухоли, стеноз), очаги демиелинизации, ишемические зоны или воспалительные изменения [11](https://fnkc-fmba.ru/zabolevaniya/mielopatiya/). \n* **Электронейромиография (ЭНМГ)** — выявляет нарушения проведения нервных импульсов, помогает дифференцировать миелопатию с периферической нейропатией [11](https://fnkc-fmba.ru/zabolevaniya/mielopatiya/).\n\n## Лечение\nЛечение миелопатии зависит от причины, тяжести симптомов и степени повреждения спинного мозга [11](https://fnkc-fmba.ru/zabolevaniya/mielopatiya/). Некоторые методы: \n* **Консервативное лечение** — применяется при лёгких и умеренных формах, в качестве поддерживающей терапии [11](https://fnkc-fmba.ru/zabolevaniya/mielopatiya/). Включает медикаментозную терапию, физиотерапевтические процедуры, лечебный массаж и мануальную терапию [1](https://cvmmed.ru/article/mielopatiya-simptomy-prichiny-i-lechenie-v-naberezhnykh-chelnakh). \n* **Хирургическое лечение** — проводится в особо тяжёлых случаях, направлено на декомпрессию спинного мозга с помощью удаления грыжи позвоночного диска, опухолей и кист [1](https://cvmmed.ru/article/mielopatiya-simptomy-prichiny-i-lechenie-v-naberezhnykh-chelnakh). \n\n**Самолечение** миелопатии не рекомендуется — только опытный врач может поставить верный диагноз [1](https://cvmmed.ru/article/mielopatiya-simptomy-prichiny-i-lechenie-v-naberezhnykh-chelnakh).","linksData":[{"sourceId":1,"url":"https://cvmmed.ru/article/mielopatiya-simptomy-prichiny-i-lechenie-v-naberezhnykh-chelnakh","shownUrl":"https://cvmmed.ru/article/mielopatiya-simptomy-prichiny-i-lechenie-v-naberezhnykh-chelnakh","title":"Миелопатия: симптомы, причины и лечение в Набережных Челнах","shortUrl":"cvmmed.ru","isTranslated":false,"description":"","greenUrl":"cvmmed.ru"},{"sourceId":2,"url":"https://semeynaya.ru/directions/nevrologiya/Mielopatiya/","shownUrl":"https://semeynaya.ru/directions/nevrologiya/Mielopatiya/","title":"Миелопатия","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":3,"url":"https://www.OnClinic.ru/mielopatiya/","shownUrl":"https://www.OnClinic.ru/mielopatiya/","title":"Миелопатия - причины, симптомы, диагностика, лечение и профилактика","shortUrl":"OnClinic.ru","isTranslated":false,"description":"","greenUrl":"OnClinic.ru"},{"sourceId":4,"url":"https://ehinaceya.ru/manualnaya-terapiya/mielopatiya-narushenie-spinalnogo-krovoobrashheniya-paraparez/","shownUrl":"https://ehinaceya.ru/manualnaya-terapiya/mielopatiya-narushenie-spinalnogo-krovoobrashheniya-paraparez/","title":"Миелопатия. 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