Long-term outcome after spinal cord infarctions

Autor: Halvor Naess, Fredrik Romi, Tiina Rekand, S. R. Hanson
Rok vydání: 2014
Předmět:
Zdroj: Acta Neurologica Scandinavica. 131:253-257
ISSN: 0001-6314
Popis: Hanson SR, Romi F, Rekand T, Naess H. Long-term outcome afterspinal cord infarctions.Acta Neurol Scand: DOI: 10.1111/ane.12343.© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.Objectives – To investigate long-term outcome in patients withspontaneous spinal cord infarctions and secondly to compare outcomewith that of patients with cerebral infarction. Material and methods –The study includes 30 patients with spinal cord infarction dischargedbetween 1995 and 2010. Surviving patients were contacted bytelephone and sent a questionnaire. Data on employment, function,depression, fatigue, pain, and quality of life were obtained andcompared to similar data obtained from a group of patients withcerebral infarction. Results – Seven patients with spinal cordinfarction had died after a mean follow-up of 7.1 years. Mortality wasassociated with poor functioning in the acute phase. Thirteen of 20responding patients were able to walk. Compared to patients withcerebral infarction, patients with spinal cord infarction hadsignificantly lower mortality, poorer functioning, higher re-employment rate, and more pain. Conclusion – Many patients withspinal cord infarction experience significant improvement. Eventhough functional outcome is worse, the mortality rate is lower andthe frequency of re-employment higher among patients with spinalcord infarction compared to patients with cerebral infarction.
Databáze: OpenAIRE