The dura causes spinal cord compression after spinal cord injury

被引：52

作者：

Saadoun, Samira ^{[1
]}

Werndle, Melissa C. ^{[1
]}

de Heredia, Luis Lopez ^{[2
]}

Papadopoulos, Marios C. ^{[1
]}

机构：

[1] St Georges Univ London, Acad Neurosurg Unit, London, England

[2] Stoke Mandeville Hosp, Natl Spinal Injuries Ctr, Aylesbury, Bucks, England

来源：

BRITISH JOURNAL OF NEUROSURGERY | 2016年 / 30卷 / 05期

关键词：

Laminectomy; magnetic resonance imaging; spinal cord compression; spinal cord injury; PRESSURE EVALUATION; PERFUSION-PRESSURE;

D O I：

10.3109/02688697.2016.1173191

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

MR scans from 65 patients with traumatic spinal cord injury were analysed; on admission 95% had evidence of cord compression - in 26% due to the dura, and in the remaining 74% due to extradural factors. Compression due to dural factors resolved with a half-life of 5.5 days. These findings suggest that bony decompression alone may not relieve spinal cord compression in the quarter of patients in whom dural factors are significant.

引用

页码：582 / 584

页数：3

共 5 条

[1]

Burns Anthony S, 2012, Handb Clin Neurol, V109, P47, DOI 10.1016/B978-0-444-52137-8.00003-6

[2] ACUTE SPINAL-CORD INJURY - MR IMAGING AT 1.5-T [J].

KULKARNI, MV ;

MCARDLE, CB ;

KOPANICKY, D ;

MINER, M ;

COTLER, HB ;

LEE, KF ;

HARRIS, JH .

RADIOLOGY, 1987, 164 (03) :837-843

[3] The early evolution of spinal cord lesions on MR Imaging following traumatic spinal cord injury [J].

Leypold, B. G. ;

Flanders, A. E. ;

Burns, A. S. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2008, 29 (05) :1012-1016

[4] Expansion Duroplasty Improves Intraspinal Pressure, Spinal Cord Perfusion Pressure, and Vascular Pressure Reactivity Index in Patients with Traumatic Spinal Cord Injury: Injured Spinal Cord Pressure Evaluation Study [J].

Phang, Isaac ;

Werndle, Melissa C. ;

Saadoun, Samira ;

Varsos, Georgios ;

Czosnyka, Marek ;

Zoumprouli, Argyro ;

Papadopoulos, Marios C. .

JOURNAL OF NEUROTRAUMA, 2015, 32 (12) :865-874

[5] Monitoring of Spinal Cord Perfusion Pressure in Acute Spinal Cord Injury: Initial Findings of the Injured Spinal Cord Pressure Evaluation Study [J].

Werndle, Melissa C. ;

Saadoun, Samira ;

Phang, Isaac ;

Czosnyka, Marek ;

Varsos, Georgios V. ;

Czosnyka, Zofia H. ;

Smielewski, Peter ;

Jamous, Ali ;

Bell, B. Anthony ;

Zoumprouli, Argyro ;

Papadopoulos, Marios C. .

CRITICAL CARE MEDICINE, 2014, 42 (03) :646-655

← 1 →