MRI of Traumatic Cervical Spinal Cord Injury.
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Twenty-four patients with prior cervical spinal cord injury resulting in quadriplegia were evaluated with magnetic resonance imaging (MRI) long after their initial injury.Lesions within the cord on T1-weighted images were grouped into the following four categories, large, middle, small, and atrophic type.Two cases of delayed neurological deterioration occurring a few years after spinal cord injury were presented. Both of these had low signal intensity of the small type in T1-weighted images. On T2-weighted images, high signal intensity within the cord was identified corresponding to areas of low signal intensity.These appeared to be cystic lesions.Our results suggest that internal fixation is indicated with a small type in the T1-weighted images even if no bone injury is apparent.
- 西日本整形・災害外科学会の論文
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