Glossary entry

Spanish term or phrase:

síndrome medular transverso L2-L5

English translation:

transverse spinal cord syndrome at L2-L5 (L2-L5)

Added to glossary by liz askew
Nov 18, 2010 10:41
13 yrs ago
4 viewers *
Spanish term

síndrome medular transverso L2-L5

Spanish to English Medical Medical (general)
This is from an "informe pericial" written by a surgeon assessing the extent of the injuries of a person seriously injured in a car accident in Spain and subsequently treated in the UK. In other parts of the report the diagnosis of the person's condition is described as conus medullaris syndrome. The term above comes in the section where the surgeon is detailing "la puntuación de las secuelas según ley 34/03".
Now I think that this is a general term covering the person's condition along with other spinal problems for the purposes of the law (otherwise I don't understand why this term is used here rather than conus medullaris syndrome). "Transverse spinal syndrome" does appear in several places on the internet, but I note that these articles seem to be written by doctors who are non-native speakers of English. So, is this term correct or is there something better out there?
Change log

Nov 19, 2010 18:47: liz askew changed "Edited KOG entry" from "<a href="/profile/818263">Greg Hunt's</a> old entry - "síndrome medular transverso L2-L5"" to ""transverse spinal cord syndrome at L2-L5 (L2-L5)""

Discussion

David Brown Nov 18, 2010:
...medullary syndrome This was only an observation...I actually agree with Liz, but for some reason the page doesn't show "agree"
That's because "medullary syndromes" are those affecting the medulla oblongata (of the brain), not the medulla spinalis (the spinal cord). The adjective "medullary" rarely ever refers to the spinal cord—it's one of the most common pitfalls in medical translation.
David Brown Nov 18, 2010:
.....medullary syndrome There are many references to "lateral" and "medial" medullary syndromes, but the only ones with "transverse" are translations
Have you tried searching for "transverse cord syndrome"?
Greg Hunt (asker) Nov 18, 2010:
I've seen that he seems to have used the term, but the actual context is behind subscription - it doesn't appear in the link you've given. Interesting that you say "completely severed" as this patient's spinal injury was deemed "incomplete". The surgeon actually disagrees with some of the conclusions of the British doctors. Guttman is a non-native, but then seeing as he worked in England for so long, I dare say he knew what he was talking about! Thanks, this is useful.
"Síndrome medular transverso" is the constellation of symptoms/changes that occur after the spinal cord is completely severed at a certain level. I would usually render this as "complete spinal cord injury".

On another note, I do read three instances of "transverse spinal syndrome" in this 1954 article authored by a certain Sir Ludwig Guttmann... (http://en.wikipedia.org/wiki/Ludwig_Guttmann :)

Proposed translations

+4
50 mins
Selected

transverse spinal cord syndrome at L2-L5 (L2-L5)

http://www.google.co.uk/search?hl=en&lr=lang_en&tbs=lr:lang_...

medular = spinal/spinal cord
• irritación cerebral o medular > brain or (spinal) cord irritation
20 Dec 2007 ... (KudoZ) Spanish to English translation of irritación cerebral o medular: brain or (spinal) cord irritation [informed consent - Medical ...
www.proz.com › ... › Spanish to English › Medical (general) - Cached - Similar
• Estenosis de canal como causa de lesión medular = Spinal stenosis ...
by AM BENAVENTE-VALDEPENAS - 2007
Estenosis de canal como causa de lesión medular = Spinal stenosis as a cause of spinal cord injury. Auteur(s) / Author(s) ...
cat.inist.fr/?aModele=afficheN&cpsidt=18520716

Handbook of clinical neurology: volumes 1-75 (including revised ... - Google Books Result
Pierre J. Vinken, George W. Bruyn, Willeke van Ockenburg - 2002 - Medical
57/l28 complete cord lesion, 26/255-257 congenital myopathy, 62/334 couplet ... 63/482 transient ischemic attack, 53/208 transverse spinal cord syndrome, ...
books.google.co.uk/books?isbn=0444509178...


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Note added at 52 mins (2010-11-18 11:33:52 GMT)
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Transverse syndrome as the dominant feature of solitary cervical ...
Transverse syndrome due to compression of the cervical spinal cord by an expanding, intravertebral plasmocytoma is rare.1,2,3,4 Usually, ...
www.nature.com/sc/journal/v40/n1/full/3101237a.html - Similar

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Note added at 54 mins (2010-11-18 11:36:33 GMT)
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they seem to be referring to the transverse process

??

Cryptorchidism and homeotic transformations of spinal nerves
by FM Rijli - 1995 - Cited by 102 - Related articles
nonovertly segmented structures, such as the spinal cord and the internal organs. The 5'-located genes of the ..... L2*-L5* transverse processes are reduced ...
www.pnas.org/content/92/18/8185.full.pdf

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Note added at 1 hr (2010-11-18 12:04:10 GMT)
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also found this

TRATAMIENTO DE UNA LESIÓN MEDULAR CON REFLEXOTERAPIA PODAL
- [ Translate this page ]
9 Feb 2009 ... La lesión de Marcos es una : Fractura- luxación C4-C5 y síndrome de lesión medular transverso sensitivo y motor C4 con una tetraplejia como ...
www.carmenbenitobioestetica.com/index.php?...lesion-medular... - Cached - Similar

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Note added at 1 hr (2010-11-18 12:05:13 GMT)
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Flaccid paraplegia: a feature of spinal cord lesions in Holmes ...
by M Swash - 1975 - Cited by 5 - Related articles
Review[Non-traumatic acute transverse spinal cord syndromes] ... paraplegia: a feature of spinal cord lesions in Holmes-Adie syndrome and tabes dorsalis. ...
www.ncbi.nlm.nih.gov › ... › J Neurol Neurosurg Psychiatry › v.38(4); Apr 1975

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Note added at 1 hr (2010-11-18 12:08:56 GMT)
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Hess Ch W (2005). [Non-traumatic acute transverse spinal cord syndromes]. Schweiz Rundsch Med Prax 94: 1151-9. Differential diagnosis of non-traumatic, acute transverse spinal cord syndromes should cover compressive myelopathy (mostly hematomas or tumors), inflammatory myelitis and vascular myelopathies. Since acute pathologies of the spinal cord primarily result in flaccid para- or tetraparesis accompanied by areflexia or hyporeflexia (spinal shock), acute polyradiculoneuritis and the cauda equina syndrome must also be weighed into the differential diagnosis. Paraplegia may ultimately also be of psychogenic origin. The clinical picture is characterized by the rapidity of progression, the possible involvement of pain, and the specific pattern of the deficits. When the latter occurs, localization of the rostrocaudal level and transverse spread are crucial factors. Depending on the affected structure, one differentiates between anterior spinal cord syndromes (anterior spinal artery syndrome, selective involvement of the anterior horn, centromedullary syndromes), long pathway syndrome (isolated in the posterior bundle or combined with pyramidal pathways) and the unilateral Brown-Sequard's syndrome. Infectious myelitis is usually caused by neurotropic viruses or mycoplasmata in conjunction with meningitis or encephalitis; these in turn either induce transverse myelitis accompanied by severe sensomotor deficits or chiefly affect the gray matter, then producing a pattern similar to anterior spinal artery syndrome. In the case of non-infectious inflammatory myelitis, one must differentiate between multiple sclerosis, acute disseminated encephalomyelitis (ADEM), idiopathic transverse myelitis and that of the neuromyelitis optica or Devic's disease. Symptomatic transverse myelitis can also be present in association with connective tissue diseases (e.g. SLE, Behcet's disease, Sjogren's syndrome) or sarcoidosis. Notably, when ischemic spinal infarcts are involved, their onset is frequently painful and their manifestation typically subacute, rather than apoplectiform. Neurologische Klinik und Poliklinik der Universitat, Inselspital, Bern. [email protected] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&d...

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Note added at 1 hr (2010-11-18 12:12:48 GMT)
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HI


I did wonder about "myelitis", but I am not prepared to suggest this properly, as I would rather stick with a more literal translation...

http://webcache.googleusercontent.com/search?q=cache:JAtGorg...

Transverse Myelitis: Symptoms, Causes and Diagnosis
Joanne Lynn, M.D.

Transverse myelitis (TM) is a neurologic syndrome caused by inflammation of the spinal cord. TM is uncommon but not rare. Conservative estimates of incidence per year vary from 1 to 5 per million population (Jeffery, et.al., 1993). The term myelitis is a nonspecific term for inflammation of the spinal cord; transverse refers to involvement across one level of the spinal cord. It occurs in both adults and children. You may also hear the term myelopathy, which is a more general term for any disorder of the spinal cord.

Only a neurologist would know this, and this is precisely why I often stick to the more literal translation. I am sure an expert will understand the meaning and draw their own conclusions, based on their knowledge of medicine.

Cheers!

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Note added at 5 hrs (2010-11-18 16:30:15 GMT)
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Indeed, best not to make any assumptions, and even put a footnote, if necessary:)

Good luck!

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Note added at 1 day8 hrs (2010-11-19 18:47:42 GMT) Post-grading
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You're welcome!
Note from asker:
Yes, I'd been thinking about myelitis as well, but it's not absolutely clear in this case what the nature of the spinal injury is - there's some disagreement. But you're right; only a neurologist would know and I'm not.
Peer comment(s):

agree David Brown : now it does...there are plenty references to this. The "syndrome" part in the report is probably used as there is no definitive name for this
32 mins
Thank you!
agree Filippe Vasconcellos de Freitas Guimarães : Agree with David.
32 mins
Thank you!
agree riafontes
1 hr
Thank you!
agree Otto Albers (X)
12 hrs
Gracias y saludos!
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Cheers Liz, very thorough research. This is what I went with. Thanks to everyone else as well!"
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