THE INFLUENCE OF SEVERITY OF SPINAL-CORD ISCHEMIA IN THE ETIOLOGY OF DELAYED-ONSET PARAPLEGIA

被引:107
作者
MOORE, WM [1 ]
HOLLIER, LH [1 ]
机构
[1] ALTON OCHSNER MED FDN & OCHSNER CLIN,DEPT SURG,1514 JEFFERSON HIGHWAY,NEW ORLEANS,LA 70121
关键词
D O I
10.1097/00000658-199105000-00007
中图分类号
R61 [外科手术学];
学科分类号
摘要
To clarify the cause of delayed-onset paraplegia, the authors evaluated the neurologic outcome after temporary (10 to 30 minutes) spinal cord ischemia in the awake rabbit. Loss of motor function occurred in less than 2 minutes in all animals. Restoration of flow within 16 minutes always resulted in full return of function, whereas with occlusion times of greater than 27 minutes all animals remained paralyzed. After temporary occlusion of 20 to 21 minutes, however, 71% of animals returned to normal neurologic function but developed delayed-onset paraplegia 14 to 48 hours later. This appears to be a reliable method for the creation of a model of delayed-onset paraplegia in the awake animal, and will facilitate more detailed studies of the pathophysiology of ischemia-induced paraplegia.
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页码:427 / 432
页数:6
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