Navigation Links
Recovery from Spinal Cord Injury can Be Predicted Using MRI

Using magnetic resonance imaging (MRI), radiologists can better predict the likelihood of full or partial recovery of patients with acute spinal cord injuries (SCI), according to a study published in the June issue of the journal Radiology.

"Our study demonstrates that the possibility and extent of neurological recovery after SCI can be predicted within 48 hours after injury by rigorous assessment of MR images," said co-author Michael G. Fehlings, M.D., Ph.D., F.R.C.S.C., professor of neurosurgery at the University of Toronto and medical director at the Krembil Neuroscience Centre at Toronto Western Hospital. "In addition," Dr. Fehlings said, "these findings could result in a more aggressive clinical strategy for patients who may appear to have a severe SCI but may indeed have the capacity for substantial neurological recovery."

According to the National Spinal Cord Association, 250,000 to 400,000 people in the United States are living with SCI or spinal dysfunction. An estimated 7,800 new cases of SCI occur each year. Motor vehicle accidents account for 44 percent of these injuries in the U.S.

An initial MRI examination is typically performed on patients with SCI to determine the degree of neurological damage, as well as a possible prognosis. MRI findings may include cord hemorrhage, swelling, soft tissue and ligament injury, blood clots or herniated discs.

Dr. Fehlings study included 100 patients with traumatic cervical SCI. The group consisted of 79 men and 21 women between the ages of 17 and 96. Complete motor and sensory SCI was seen in 26 patients, incomplete SCI was seen in 51 patients, and 22 patients were neurologically intact upon admission. One patient could not be classified. The majority of the patients had been injured in motor vehicle accidents.

MRI exams were obtained within 24 to 48 hours of injury. The research team studied three measurable imaging parameters: maximum spinal cor d compression (MSCC), maximum canal compromise (MCC) and length of lesion (LOL). They also looked at other factors, including bleeding within the spine, swelling and soft tissue injury.

The results showed that severity of MSCC, bleeding and cord swelling were key indicators of a poor prognosis after SCI. Conversely, the absence of these symptoms indicated a good chance for neurological recovery even if the injury otherwise appeared severe.

"Since the severity of spinal cord compression is a predictor of outcome after SCI, this study suggests that MRI may predict which patients would benefit the most from decompressive surgery," Dr. Fehlings said.

He added that MRI should be performed on all patients with acute SCI whenever feasible as it provides information with prognostic value and serves to guide the clinician to optimize clinical care.


Related medicine news :

1. Amphetamines Help Recovery of Stroke Patients
2. Recovery from lung injury
3. Recovery After Heart Transplantation
4. Combination Therapy Found To Improves Stroke Recovery
5. Swallowing Exercises Helps With Cancer Treatment Recovery
6. Early Detection Of Prostate Cancer For Complete Recovery From Prostate Cancer
7. Breast Cancer Survivors Emotional Recovery Is Rapid After Treatment
8. Face Transplant Patient Jeopardizing Chances of Recovery By Smoking
9. Teenager Shows Signs Of Recovery after Receiving Massive Dose of Radiation
10. Just Had Bowel Surgery? Chew Gum For A Speedy Recovery
11. Drug Addiction Recovery Buffered by Spirituality
Post Your Comments:

(Date:11/30/2015)... Fla. (PRWEB) , ... November 30, 2015 , ... ... opened the driverless vehicle experience this summer, ushering in a new era of ... percent driverless and electric shuttle, will continue to offer guests an up-close look ...
(Date:11/30/2015)... ... 30, 2015 , ... The presidential race normally deals with political issues of ... a national news story when Donald Trump makes disparaging remarks about Hillary Clinton’s hairstyle? ... than anyone wants to admit when it comes to how people are viewed by ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... continuing education course in Dallas, TX, on January 29 and 30, 2016. The ... improve the functions of their practices, to learn how to better succeed in ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... component of bacteria could be effective in fighting methicillin-resistant Staphylococcus aureus (MRSA), one ... , Their study showed that small molecule analogs that target the functions of ...
(Date:11/30/2015)... ... 30, 2015 , ... Dr. Seth D. Margulies specializes in orthodontics and is ... Margulies to experience the best available orthodontic experience in the area. Dr. Margulies ... , Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... -- IBA Molecular North America, Inc. (IBAMNA), a U.S. leader ... as of January 1, 2016, it will do business ... rebrand the company reflects a refined vision for the ... relationship with Zevacor Molecular.  Both IBAMNA and Zevacor Molecular ... Peter Burke , Vice President Sales and ...
(Date:11/30/2015)... -- North America was valued at ... a CAGR of 7.6% from 2015 to 2020. --> ... in 2014, and is expected to grow at a CAGR of ... new Market Research Report "North America Cardiac Output Monitoring Devices Market ... care, others) - Analysis And Forecast To 2020", the cardiac output ...
(Date:11/30/2015)... , Nov. 30, 2015  Kevin Smith ... Sensium Healthcare, a global pioneer in wireless monitoring ... Boston, MA , Mr. Smith will ... Sensium,s global commercial strategy.  He will also directly ... to build clinical evidence for SensiumVitals, the first ...
Breaking Medicine Technology: