Document Detail

Magnetic resonance imaging in acute cervical spinal cord injury: a correlative study on spinal cord changes and 1 month motor recovery.
MedLine Citation:
PMID:  18542094     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: Retrospective study.
OBJECTIVES: We aimed to correlate the spinal cord changes as depicted by magnetic resonance imaging (MRI) with the neurological deficit and motor recovery of patients with acute cervical spinal cord injury (SCI).
SETTING: A total of 57 patients with acute cervical spine trauma who presented to the Department of Radio Diagnosis, Kasturba Medical College Manipal, Karnataka, India, over a period of 5 years (August 2002 to September 2007) were studied.
METHODS: The pattern and extent of spinal cord changes on MRI were compared with the American Spinal Injury Association (ASIA) grade, motor index score (MIS) and the total number of useful muscles in the extremities on admission (ADM) and follow-up. The differences in the recovery rates (RR) among patients with cord edema (EDE), contusion and hemorrhage (HGE) were tested statistically.
RESULTS: Spinal cord edema was associated with a better neurological outcome than contusion or hemorrhage, and its overall length showed a negative correlation with the recovery rate (P=0.001).
CONCLUSION: MRI is invaluable in evaluating cervical SCI. Cord edema is associated with a better neurological outcome when compared with cord contusion or hemorrhage.
N S Mahmood; R Kadavigere; K R Avinash; A K Ramesh; V R Rao
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Publication Detail:
Type:  Journal Article     Date:  2008-06-10
Journal Detail:
Title:  Spinal cord     Volume:  46     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-04     Completed Date:  2009-03-05     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  791-7     Citation Subset:  IM    
Department of Radio Diagnosis and Imaging, Kasturba Medical College, Manipal, Karnataka, India.
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MeSH Terms
Aged, 80 and over
Edema / pathology*,  physiopathology
Hemorrhage / pathology,  physiopathology
Magnetic Resonance Imaging / methods*
Middle Aged
Paralysis / pathology*,  physiopathology
Predictive Value of Tests
Recovery of Function / physiology
Severity of Illness Index
Spinal Cord / pathology*,  physiopathology
Spinal Cord Injuries / pathology*,  physiopathology
Time Factors
Young Adult
Erratum In:
Spinal Cord. 2009 Jun;47(6):504
Note: Ramesh, A K [corrected to Avinash, K R]

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