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Titolo:
Spinal cord infarction: prognosis and recovery in a series of 36 patients
Autore:
de la Barrera, SS; Barca-Buyo, A; Montoto-Marques, A; Ferreiro-Velasco, ME; Cidoncha-Dans, M; Rodriguez-Sotillo, A;
Indirizzi:
Hosp Juan Canalejo, Unidad Lesionados Medulares, Spinal Cord Injuries Unit, La Coruna 15006, Spain Hosp Juan Canalejo La Coruna Spain 15006 es Unit, La Coruna 15006, Spain
Titolo Testata:
SPINAL CORD
fascicolo: 10, volume: 39, anno: 2001,
pagine: 520 - 525
SICI:
1362-4393(200110)39:10<520:SCIPAR>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
ISCHEMIC MYELOPATHY; TRAUMATIC RUPTURE; ARTERY SYNDROME; INJURY; AORTA; SURGERY; OPERATION; DISEASE; MRI;
Keywords:
spinal cord diseases; myelopathy; ischemia; infarction; prognosis; functional outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: de la Barrera, SS Hosp Juan Canalejo, Unidad Lesionados Medulares, Spinal Cord Injuries Unit, C Xubias 64, La Coruna 15006, Spain Hosp Juan Canalejo C Xubias 64 La Coruna Spain 15006 in
Citazione:
S.S. de la Barrera et al., "Spinal cord infarction: prognosis and recovery in a series of 36 patients", SPINAL CORD, 39(10), 2001, pp. 520-525

Abstract

Objective: To study the clinical evolution and the functional outcome of patients suffering from spinal cord infarction who were treated at the Spinal Cord Injuries Unit. To try to determine the factors that could have influence in their functional outcome. Setting: In a Spinal Cord Injuries Unit. regionally-based, and which formspart of a general hospital with a high level of specialization. Method: Retrospective study of the medical records of patients suffering from vascular spinal cord ischemia. as acute anterior spinal artery syndromeor associated with aortic surgery or rupture. Cases that were due to compressive, tumoral or inflammatory pathologies were excluded. Assessment of the neurological syndrome followed the ASIA/IMSOP criteria. Age, sex, historyand magnetic resonance imaging (MRI) findings were analyzed. Assessment offunctional outcome was made regarding ambulatory ability or wheelchair use. and bladder/sphincter control. Results: Thirty-six cases were selected, the commonest group being spinal cord ischemia due to idiopathic causes (36.1%). Following these, there werecases associated with aortic surgery (25%), systemic arteriosclerosis (19.4%) and acute deficit of perfusion (11.1%). The average age of the patientswas 59.3 years. with a mortality of 22.2% during the hospital stay. Regarding the functional outcomes at the moment of discharge, it must be pointed out that 57.1% of the patients were wheelchair users. 25% were ambulatory, using technical aids. and 17.9% were fully ambulatory. The group who could perform some kind of walking was significantly younger than the group of wheelchair users (48.17 vs 61.38 years). Additionally, it became evident thatthose patients who did not show voluntary muscle contraction at the time of admission (ASIA groups A and B) presented a higher risk of being wheelchair users. Conclusion: Acute spinal cord ischemia syndrome has a severe prognosis with permanent and disabling sequelae. Initial neurological assessment following ASIA/IMSOP classification proves to be the best predictor of prognosis. and the patient's advanced age constitutes a negative factor for functionalrecovery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 15:42:36