Posterior circulation infarction in patients with traumatic cervical spinal cord injury and its relationship to vertebral artery injury

被引：3
作者：
de Heredia, L. L. [1 ]
Belci, M. [2 ]
Briley, D. [3 ]
Hughes, R. J. [1 ]
McNeillis, B. [1 ]
Meagher, T. M. [1 ]
Yanny, S. [1 ]
McKean, D. [1 ]
机构：
[1] Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hosp, Dept Radiol, Aylesbury HP21 8AL, Bucks, England
[2] Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hosp, Natl Spinal Injuries Ctr, Aylesbury HP21 8AL, Bucks, England
[3] Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hosp, Dept Neurol, Aylesbury HP21 8AL, Bucks, England
来源：
SPINAL CORD | 2015年 / 53卷 / 02期
关键词：
BLUNT CEREBROVASCULAR INJURIES; MAGNETIC-RESONANCE ANGIOGRAPHY; OF-THE-LITERATURE; INCIDENTAL FINDINGS; ISCHEMIC-STROKE; OUTCOMES; MANAGEMENT; DIAGNOSIS; OCCLUSION;
D O I：
10.1038/sc.2014.145
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Study design: Prospective study. Objective: To ascertain the prevalence of posterior circulation stroke in traumatic chronic spinal cord injured (SCI) patients and associated traumatic vertebral artery injuries (VAI). Methods: All adult patients with cervical SCI and American Spinal Injury Association Impairment Scale (AIS) grade A or B referred for follow-up magnetic resonance imaging of their spinal cord were invited to take part in the study between January 2010 and December 2012 at the National Spinal Injury Centre. Two additional sequences were added to the existing imaging protocol to evaluate the brain and vertebral arteries. Results: Ninety-eight patients were recruited. All imaging were analysed independently by three consultant radiologists. Posterior circulation infarcts were noted in seven (7%) patients. Significant VAI was noted in 13 patients (13%) with 10 occlusions and 3 with high-grade stenosis. However, only one patient had co-existent posterior circulation infarct and significant VAI. Conclusion: There is an increased prevalence of posterior circulation infarction in SCI patients. The relationship with associated traumatic VAI requires further investigation.
引用
收藏
页码：125 / 129
页数：5
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