alexa Acute and Sub-acute MRI Feature Reflects Neurological Prognosis for Patients with Cervical Spinal Cord Injury
ISSN: 2161-0940

Anatomy & Physiology: Current Research
Open Access

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Acute and Sub-acute MRI Feature Reflects Neurological Prognosis for Patients with Cervical Spinal Cord Injury

Matsushita A*

Department of Orthopedic Surgery, Kyushu University, Fukuoka, Japan

*Corresponding Author:
Matsushita A
Department of Orthopedic Surgery
Kyushu University, Fukuoka, Japan
Tel: +81-92-642-5488
E-mail: [email protected]

Received Date: May 30, 2017; Accepted Date: June 02, 2017; Published Date: June 09, 2017

Citation: Matsushita A (2017) Acute and Sub-acute MRI Feature Reflects Neurological Prognosis for Patients with Cervical Spinal Cord Injury. Anat Physiol 7:267. doi: 10.4172/2161-0940.1000267

Copyright: © 2017 Matsushita A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Aim: We investigated the relationship between the acute (within 3 days after injury) and sub-acute (1 month after injury) MRI features and neurological prognosis. Method: The acute MRI (within 3 days after injury): We evaluated the relationship between the vertical diameter of T2 high-intensity changed area in MR images and neurological outcome. The sub-acute MRI (1 month after injury): We evaluated the relationship between the antero-posterior diameter of T1 low-intensity changed area in MR images and neurological outcome. Conclusion: At the acute MRI, 2-3 days after injury, a significant relationship was observed between the vertical diameter of T2 high-intensity area and the neurological prognosis at discharge. 0-1 days after injury, a relationship between the vertical diameter of T2 high-intensity area and the neurological prognosis at discharge was weak. Neurological prognosis is more correlation with MRI after 2-3 days after the injury. If the vertical diameter of T2 highintensity area was <45 mm, the patients were able to walk with or without a cane at discharge. At sub-acute MRI, There was a significant relationship between the antero-posterior diameter ratio of the T1-weighted low-intensity area on MRI at the sub-acute stage and the ASIA motor score. The patients with <50% T1-weighted low-intensity area recovered to walk with or without a cane at discharge.

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