MRI FINDINGS IN PATIENTS WITH A CERVICAL SPINAL-CORD INJURY WHO DO NOT SHOW RADIOGRAPHIC EVIDENCE OF A FRACTURE OR DISLOCATION

被引：42

作者：

HAYASHI, K

YONE, K

ITO, H

YANASE, M

SAKOU, T

机构：

[1] Department of Orthopaedic Surgery, Kagoshima University, Kagoshima, 891-01

来源：

PARAPLEGIA | 1995年 / 33卷 / 04期

关键词：

CERVICAL SPINAL CORD INJURY; MAGNETIC RESONANCE IMAGING; PROGNOSIS;

D O I：

10.1038/sc.1995.47

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We investigated the usefulness of magnetic resonance imaging (MRI) in assessing cervical spinal cord injury in patients where there was no evidence of bone injury on radiographs, and examined the relationship between the MRI findings and the clinical prognosis of this injury. MRI allowed us to confirm directly the cause and severity of spinal cord compression in 30 of 31 cases. The patients with severe spinal cord compression demonstrated by MRI showed poor neurological improvement. In regard to the signal changes in the spinal cord, the patients who showed no signal change on T1- and T2-weighted images had a better prognosis. MRI is a very useful non-invasive adjunctive imaging modality for diagnosis of this injury and for the evaluation of the compressed spinal cord. It also demonstrates potential in predicting neurological recovery.

引用

页码：212 / 215

页数：4

共 8 条

[1]

Hackney D.B., Et al., Hemorrhage and edema in acute spinal cord compression: Demonstration by MR imaging, Radiology, 161, pp. 387-390, (1986)

[2]

Kulkarni M.V., Et al., Acute spinal cord injury: MR imaging at 1.5T, Radiology, 164, pp. 837-843, (1987)

[3]

Flanders A.E., Et al., Acute cervical spine trauma: Correlation of MR imaging findings with degree of neurologic deficit, Radi¬ology, 177, pp. 25-33, (1990)

[4]

Marciello M.A., Et al., Magnetic resonance imaging related to neurologic outcome in cervical spinal cord injury, Arch Phys Med Rehabil, 74, pp. 940-946, (1993)

[5]

Frankel H.L., Et al., The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia, Paraplegia, 7, pp. 179-192, (1969)

[6]

Fujii H., Yone K., Sakou T., Magnetic resonance imaging study of experimental acute spinal cord injury, Spine, 18, pp. 2030-2034, (1993)

[7]

Yamshita Y., Et al., Chronic injuries of the spinal cord: Assess¬ment with MR imaging, Radiology, 175, pp. 849-854, (1990)

[8]

Enzmann D.R., Delapaz R.L., Rubin J.B., Magnetic Resonance of the Spine, pp. 237-259, (1990)

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