Central spinal cord injury: magnetic resonance imaging confirmation and operative considerations
| Autor: | John L. Fox, Dale C. Drennan, Louis Wener, Ossama Al-Mefty, Herbert J. Manz, Daniel J. Won |
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| Rok vydání: | 1988 |
| Předmět: |
Adult
Male medicine.medical_specialty Cord Time Factors Myelopathy Medicine Humans Syrinx (medicine) Spinal cord injury Spinal Cord Injuries Paraplegia business.industry Central cord syndrome medicine.disease Spinal cord Magnetic Resonance Imaging medicine.anatomical_structure Spinal Cord Surgery Neurology (clinical) Radiology medicine.symptom business Syringomyelia |
| Zdroj: | Neurosurgery. 22(2) |
| ISSN: | 0148-396X |
| Popis: | A case of central cervical spinal cord injury, confirmed by magnetic resonance imaging (MRI) and treated by myelotomy, is presented. After recovering well from his central cord syndrome and walking with assistance, the patient developed a rapidly progressive myelopathy beginning 2 months after injury. His main injury localized clinically to the C8, T1 level; but central cord abnormalities were identified 3 months after injury at the C6 level by MRI: a high signal intensity on the proton density sequence and a low-signal intensity on the T1-weighted sequence. At operation 4½; months after his injury and 1 month after complete paraplegia, a myelotomy at C6 failed to reveal any cavity (syrinx) but instead disclosed only intense gliosis inside a slightly atrophic spinal cord. Rapid clinical improvement ensued. Secondary syringomyelia may be an endstage condition after spinal cord insults that trigger a progressive, pathophysiological reaction leading to central cord necrosis. In selected cases, myelotomy may interrupt this MRI-identified, nosogenic process before cavitation has occurred. (Neurosurgery 22:340-347, 1988) |
| Databáze: | OpenAIRE |
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