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首页> 外文期刊>Yonsei Medical Journal >Neurologic Recovery According to Early Magnetic Resonance Imaging Findings in Traumatic Cervical Spinal Cord Injuries
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Neurologic Recovery According to Early Magnetic Resonance Imaging Findings in Traumatic Cervical Spinal Cord Injuries

机译:根据早期磁共振成像发现的创伤性颈脊髓损伤的神经恢复

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摘要

The aim of this study was to determine the usefulness of early magnetic resonance imaging findings in predicting neurologic recovery at or below the injured level in traumatic cervical spinal cord injuries. Thirty patients with traumatic cervical spinal cord injuries were included. All of the patients received a magnetic resonance imaging and a neurologic examination in the emergency room, within 7 days of injury and at 6 months following the injury. To quantify neurologic recovery below the injured level, we modified clinical scales, particularly the motor ratio and the sensory ratio. We used the neurologic level to quantify recovery around the injured level. We assessed neurologic recovery according to MRI patterns and lesion extents. The pure hemorrhagic MRI pattern was not observed. In edematous and mixed types, the improvement of neurologic levels was not significantly different. The motor ratio and sensory ratio improved significantly more in edematous type patients than in mixed type patients. Based on MRI lesion extent, the improvement of neurologic levels was not significantly different, and motor ratio and sensory ratio improved significantly more in those with one or two segments involved than in those with more than two segments involved. In conclusion, early MRI pattern and lesion extent after traumatic cervical spinal cord injury may provide important information to help predict neurologic recovery, especially below the injured level.
机译:这项研究的目的是确定早期磁共振成像发现在预测创伤性颈脊髓损伤中处于或低于损伤水平的神经系统恢复中的有用性。包括30例颈椎创伤性创伤患者。所有患者在受伤后7天之内和受伤后6个月都在急诊室接受了磁共振成像和神经系统检查。为了量化低于受伤水平的神经功能恢复,我们修改了临床量表,尤其是运动比和感觉比。我们使用神经系统水平来量化受伤水平附近的恢复情况。我们根据MRI模式和病变程度评估了神经功能恢复。没有观察到纯粹的出血性MRI模式。在水肿型和混合型中,神经系统水平的改善没有显着差异。与混合型患者相比,水肿型患者的运动比和感觉比明显改善。根据MRI病变程度,神经系统水平的改善没有显着差异,并且涉及一个或两个节段的患者的运动比和感觉比比涉及两个以上节段的患者的运动比和感觉比的改善更大。总之,创伤性颈脊髓损伤后的早期MRI模式和病变范围可提供重要信息,以帮助预测神经系统的恢复,尤其是在受伤水平以下。

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