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Neurologic Recovery According to Early Magnetic Resonance Imaging Findings in Traumatic Cervical Spinal Cord Injuries

 Ji Cheol Shin  ;  Deog Young Kim  ;  Chang-Il Park  ;  Yong Wook Kim  ;  Seok-Hoon Ohn 
 YONSEI MEDICAL JOURNAL, Vol.46(3) : 379-387, 2005 
Journal Title
Issue Date
Adult ; Aged ; Cervical Vertebrae ; Early Diagnosis ; Female ; Humans ; Magnetic Resonance Imaging* ; Male ; Middle Aged ; Predictive Value of Tests ; Recovery of Function* ; Spinal Cord Injuries/pathology* ; Spinal Cord Injuries/physiopathology*
Traumatic cervical spinal cord injury ; neurologic recovery ; magnetic resonance imaging
The aim of this study was to determine the usefulness of early magnetic resonance imaging findings in predicting neurologic recovery at or below the injured level in traumatic cervical spinal cord injuries. Thirty patients with traumatic cervical spinal cord injuries were included. All of the patients received a magnetic resonance imaging and a neurologic examination in the emergency room, within 7 days of injury and at 6 months following the injury. To quantify neurologic recovery below the injured level, we modified clinical scales, particularly the motor ratio and the sensory ratio. We used the neurologic level to quantify recovery around the injured level. We assessed neurologic recovery according to MRI patterns and lesion extents. The pure hemorrhagic MRI pattern was not observed. In edematous and mixed types, the improvement of neurologic levels was not significantly different. The motor ratio and sensory ratio improved significantly more in edematous type patients than in mixed type patients. Based on MRI lesion extent, the improvement of neurologic levels was not significantly different, and motor ratio and sensory ratio improved significantly more in those with one or two segments involved than in those with more than two segments involved. In conclusion, early MRI pattern and lesion extent after traumatic cervical spinal cord injury may provide important information to help predict neurologic recovery, especially below the injured level.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
Kim, Yong Wook(김용욱) ORCID logo https://orcid.org/0000-0002-5234-2454
Park, Chang Il(박창일)
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
Ohn, Suk Hoon(온석훈)
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