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Titolo:
SPINAL-CORD INFARCTION - ETIOLOGY AND OUTCOME
Autore:
CHESHIRE WP; SANTOS CC; MASSEY W; HOWARD JF;
Indirizzi:
MAYO CLIN JACKSONVILLE,DEPT NEUROL,4500 SAN PABLO RD JACKSONVILLE FL 32224 UNIV N CAROLINA,DEPT NEUROL CHAPEL HILL NC 27515 DUKE UNIV,DEPT MED,DIV NEUROL DURHAM NC 27706
Titolo Testata:
Neurology
fascicolo: 2, volume: 47, anno: 1996,
pagine: 321 - 330
SICI:
0028-3878(1996)47:2<321:SI-EAO>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
THORACOABDOMINAL AORTIC-ANEURYSMS; BLOOD-FLOW; ABDOMINAL-AORTA; ARTERY SYNDROME; VENOUS INFARCTION; PARAPLEGIA; ANTERIOR; ISCHEMIA; DAMAGE; MYELOPATHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
81
Recensione:
Indirizzi per estratti:
Citazione:
W.P. Cheshire et al., "SPINAL-CORD INFARCTION - ETIOLOGY AND OUTCOME", Neurology, 47(2), 1996, pp. 321-330

Abstract

We reviewed 44 cases of ischemia and infarction of the spinal cord attwo university hospitals, Three patients experienced transient ischemic attacks. Etiologies of completed strokes were diverse and included rupture and surgical repair of aortic aneurysms, aortic dissection, aortic rupture and thrombosis, global ischemia, anterior spinal artery embolism, repair and thrombosis of spinal arteriovenous malformations, hematomyelia, epidural hematoma, cervical osteophytosis, celiac plexusblock, systemic lupus erythematosus, coagulopathy, and decompression sickness. Motor function improved in 12 patients, was substantial in only one, and occurred largely within the first 2 to 4 weeks, Favorableambulatory outcome correlated with improving neurologic examinations and relatively preserved strength in hip abductors and knee extensors. More extensive deficits without initial improvement portended a more severe prognosis. Autonomic dysfunction, pain, paresthesia, and depression were common and impeded recovery in some patients. The mean levelof deficit was at T-8 and in cases of global ischemia was at T-9, which leads us to dispute the classical view of a midthoracic watershed zone of ischemic vulnerability near T-4.

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Documento generato il 02/12/20 alle ore 18:20:51