PMID: 7993244Nov 1, 1994Paper

A review of magnetic resonance imaging in spinal trauma

Australasian Radiology
S J Davis, M S Khangure

Abstract

One hundred and ninety-five magnetic resonance (MR) images (1.5 Tesla) of 167 patients with neurological impairment following spinal trauma were reviewed. Acute cord injury produces central haemorrhagic necrosis that extends transversely and longitudinally with time and increased injury severity. Oedoma is more homogeneous, extensive and dominant in minimal lesions. Magnetic resonance appearances correlate with neurological status and outcome. Patients with MR evidence of cord blood had severe clinical lesions and failed to show useful clinical improvement. Patients with homogeneous 'oedema' improved to useful function. Lesion signal inhomogeneity relates to a worse prognosis. The clinical level correlates closely with cord blood or signal in homogeneity but imprecisely with homogeneous oedema. Disc herniations require differentiation from epidural blood and venous engorgement, which are prominent with bone displacement. Magnetic resonance is recommended in incomplete cord syndromes and in cord injuries with no apparent fracture, particularly if clinically deteriorating. Chronic injury consists of cavitation, extensive gliosis, cord atrophy and leptomeningeal fibrosis. Progressive myelopathy may result from cystic or non-cystic...Continue Reading

References

Jun 1, 1991·Spine·S J RizzoloA Flanders
Mar 1, 1991·The British Journal of Radiology·Y YamashitaE E Kim
May 1, 1991·The British Journal of Radiology·R W KerslakeB S Worthington
Jul 1, 1991·Radiology·S J DavisA E Bloze
Jun 1, 1990·Radiology·Y YamashitaE E Kim
Oct 1, 1990·Radiology·D B Hackney
Sep 1, 1989·Radiology·J M Eskridge
Sep 1, 1988·Journal of Computer Assisted Tomography·G J BeersJ E Meyer
Nov 1, 1988·Radiographics : a Review Publication of the Radiological Society of North America, Inc·M V KulkarniP A Narayana

❮ Previous
Next ❯

Citations

May 5, 2012·Journal of the American College of Radiology : JACR·David J SeidenwurmAlan D Waxman
Dec 15, 2015·Journal of the American College of Radiology : JACR·Christopher J RothJulie Bykowski
May 28, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Guen Young LeeJung Hwan Baek
May 6, 1998·Clinical Physiology·H N Mayrovitz

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.