Sequential MR studies of cervical cord injury: correlation with neurological damage and clinical outcome.

Abstract:

OBJECTIVE:To determine which images provide the most useful information and the best time to perform prognostic MRI. DESIGN:The severity of neurological complications was assessed using the ASIA impairment scale. MRI was first performed within 48 h of injury, and was subsequently performed after 2-3 weeks, 3 months, 6 months, and 1 year. SETTING:Inpatient SCI medicine unit. SUBJECTS:Seventy-five patients with acute traumatic cervical spinal cord injury (9 women and 66 men) aged from 19-89 years (mean: 54.7 years). RESULTS:Four characteristic patterns of signal changes were observed on MRI. These patterns correlated well with the severity of spinal cord damage and the clinical outcome. CONCLUSION:T2-weighted images provided the most useful information, and the best times for prognostic imaging were at the time of injury and 2-3 weeks later.

journal_name

Spinal Cord

journal_title

Spinal cord

authors

Shimada K,Tokioka T

doi

10.1038/sj.sc.3100858

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

410-5

issue

6

eissn

1362-4393

issn

1476-5624

journal_volume

37

pub_type

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