Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/9616
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dc.contributor.authorSilberstein, Men
dc.contributor.authorTress, B Men
dc.contributor.authorHennessy, O Fen
dc.date.accessioned2015-05-15T22:46:45Z
dc.date.available2015-05-15T22:46:45Z
dc.date.issued1992-09-10en
dc.identifier.citationAjnr. American Journal of Neuroradiology; 13(5): 1373-81en
dc.identifier.govdoc1414830en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/9616en
dc.description.abstractTo 1) correlate spinal MR features and modes of clinical presentation associated with symptomatic neurologic deterioration following longstanding spinal trauma; 2) correlate degree of neurologic deficit with spinal MR appearance in these patients; and 3) determine the relationship between new symptoms and ongoing cord compression.Retrospective examination of MR images, and correlation with clinical data, in 94 consecutive patients.Sixty-seven patients presented with either an increase in degree of myelopathy or ascending neurologic level. Spinal cord atrophy (43%), syrinx (41%), and cord compression (24%) were found most frequently. Whereas in patients with complete motor and sensory deficit cord atrophy was the most frequent finding (52%), 75% of patients with useful motor function had normal spinal cords. There was a significant association (P less than .05) between cord compression and the MR findings of cord atrophy and myelomalacia, whereas a normal cord was over twice as frequent in patients without spinal cord compression. MR imaging led to an active change in management in 15% of patients, with improvement following surgery in all operated cases.Although syrinx is a frequent, and treatable cause of delayed neurologic deterioration, MR will frequently show other abnormalities such as ongoing cord compression. MR imaging should be performed urgently in all patients with new symptoms to enable early treatment to prevent irreversible loss of function.en
dc.language.isoenen
dc.subject.otherAdolescenten
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherMagnetic Resonance Imagingen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherNervous System Diseases.etiology.physiopathologyen
dc.subject.otherSpinal Cord Compression.diagnosis.etiologyen
dc.subject.otherSpinal Cord Injuries.complications.diagnosis.surgeryen
dc.subject.otherTime Factorsen
dc.titleDelayed neurologic deterioration in the patient with spinal trauma: role of MR imaging.en
dc.typeJournal Articleen
dc.identifier.journaltitleAJNR. American journal of neuroradiologyen
dc.identifier.affiliationDepartment of Radiology, Austin Hospital, Heidelberg, Victoria, Australiaen
dc.description.pages1373-81en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/1414830en
dc.type.austinJournal Articleen
item.grantfulltextnone-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
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