Are Midsagittal Tissue Bridges Predictive of Outcome After Cervical Spinal Cord Injury?

被引:53
作者
Huber, Eveline [1 ]
Lachappelle, Patrice [1 ]
Sutter, Reto [2 ]
Curt, Armin [1 ]
Freund, Patrick [1 ,3 ,4 ,5 ]
机构
[1] Balgrist Univ Hosp, Spinal Cord Injury Ctr, Forchstr 340, CH-8008 Zurich, Switzerland
[2] Balgrist Univ Hosp, Radiol, Zurich, Switzerland
[3] UCL, Inst Neurol, Wellcome Trust Ctr Neuroimaging, London, England
[4] UCL, UCL Inst Neurol, Dept Brain Repair & Rehabil, London, England
[5] Max Planck Inst Human Cognit & Brain Sci, Dept Neurophys, Leipzig, Germany
关键词
CONTUSION; RECOVERY; MR; REGENERATION; SYSTEM; LESION; RAT;
D O I
10.1002/ana.24932
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
T-2-weighted scans provided data on the extent and dynamics of neuronal tissue damage and midsagittal tissue bridges at the epicenter of traumatic cervical spinal cord lesions in 24 subacute tetraplegic patients. At 1 month postinjury, smaller lesion area and midsagittal tissue bridges identified those patients with lower extremity evoked potentials and better clinical recovery. Wider midsagittal tissue bridges and smaller lesions at 1 month post-injury were associated with neurological and functional recovery at 1-year follow-up. Neuroimaging biomarkers of lesion size and midsagittal tissue bridges are potential outcome predictors and patient stratifiers in both subacute and chronic clinical trials.
引用
收藏
页码:740 / 748
页数:9
相关论文
共 23 条
  • [1] Sequential loss of myelin proteins during Wallerian degeneration in the human spinal cord
    Buss, A
    Pech, K
    Merkler, D
    Kakulas, BA
    Martin, D
    Schoenen, J
    Noth, J
    Schwab, ME
    Brook, GA
    [J]. BRAIN, 2005, 128 : 356 - 364
  • [2] Transformation of nonfunctional spinal circuits into functional states after the loss of brain input
    Courtine, Gregoire
    Gerasimenko, Yury
    van den Brand, Rubia
    Yew, Aileen
    Musienko, Pavel
    Zhong, Hui
    Song, Bingbing
    Ao, Yan
    Ichiyama, Ronaldo M.
    Lavrov, Igor
    Roy, Roland R.
    Sofroniew, Michael V.
    Edgerton, V. Reggie
    [J]. NATURE NEUROSCIENCE, 2009, 12 (10) : 1333 - U167
  • [3] Recovery from a spinal cord injury: Significance of compensation, neural plasticity, and repair
    Curt, Armin
    Van Hedel, Hubertus J. A.
    Klaus, Daniel
    Dietz, Volker
    [J]. JOURNAL OF NEUROTRAUMA, 2008, 25 (06) : 677 - 685
  • [4] Regeneration of adult axons in white matter tracts of the central nervous system
    Davies, SJA
    Fitch, MT
    Memberg, SP
    Hall, AK
    Raisman, G
    Silver, J
    [J]. NATURE, 1997, 390 (6661) : 680 - 683
  • [5] Bridging the Gap: A Reticulo-Propriospinal Detour Bypassing an Incomplete Spinal Cord Injury
    Filli, Linard
    Engmann, Anne Katrin
    Zoerner, Bjoern
    Weinmann, Oliver
    Moraitis, Timoleon
    Gullo, Miriam
    Kasper, Hansjo Rg
    Schneider, Regula
    Schwab, Martin E.
    [J]. JOURNAL OF NEUROSCIENCE, 2014, 34 (40) : 13399 - 13410
  • [6] Nogo-A-specific antibody treatment enhances sprouting and functional recovery after cervical lesion in adult primates
    Freund, Patrick
    Schmidlin, Eric
    Wannier, Thierry
    Bloch, Jocelyne
    Mir, Anis
    Schwab, Martin E.
    Rouiller, Eric M.
    [J]. NATURE MEDICINE, 2006, 12 (07) : 790 - 792
  • [7] MRI investigation of the sensorimotor cortex and the corticospinal tract after acute spinal cord injury: a prospective longitudinal study
    Freund, Patrick
    Weiskopf, Nikolaus
    Ashburner, John
    Wolf, Katharina
    Sutter, Reto
    Altmann, Daniel R.
    Friston, Karl J.
    Thompson, Alan
    Curt, Armin
    [J]. LANCET NEUROLOGY, 2013, 12 (09) : 873 - 881
  • [8] Tracking sensory system atrophy and outcome prediction in spinal cord injury
    Grabher, Patrick
    Callaghan, Martina F.
    Ashburner, John
    Weiskopf, Nikolaus
    Thompson, Alan J.
    Curt, Armin
    Freund, Patrick
    [J]. ANNALS OF NEUROLOGY, 2015, 78 (05) : 751 - 761
  • [9] Motoneuron Death after Human Spinal Cord Injury
    Grumbles, Robert M.
    Thomas, Christine K.
    [J]. JOURNAL OF NEUROTRAUMA, 2017, 34 (03) : 581 - 590
  • [10] The ability of human Schwann cell grafts to promote regeneration in the transected nude rat spinal cord
    Guest, JD
    Rao, A
    Olson, L
    Bunge, MB
    Bunge, RP
    [J]. EXPERIMENTAL NEUROLOGY, 1997, 148 (02) : 502 - 522