Imaging of acute spinal injury.
Summary of "Imaging of acute spinal injury."
The mechanism location and type of injury varies according to patient age and severity of trauma. The imaging work-up with radiographs, CT and MRI must be adapted to each individual case. In the setting of minor trauma, standard radiographs are obtained when clinically indicated. In all other cases of high energy trauma, spinal trauma with neurological deficit or incomplete or difficult standard radiographic evaluation, CT will be indicated for osseous injuries while MRI will provide optimal evaluation of soft tissues. Dislocations require immediate treatment. The imaging work-up should by no means delay management. Significant sprains are rare. Several diagnostic pitfalls occur at both extremities of life.
Affiliation
Service de radiologie, Centre de chirurgie orthopédique et de la main Illkirch BP 49, 67098 Strasbourg cedex, France.
Journal Details
This article was published in the following journal.
Name: Journal de radiologie
ISSN: 0221-0363
Pages: 998-1009
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20814391
- DOI: http://dx.doi.org/
Medical and Biotech [MESH] Definitions
Molecular Imaging
The use of molecularly targeted imaging probes to localize and/or monitor biochemical and cellular processes via various imaging modalities that include RADIONUCLIDE IMAGING; ULTRASONOGRAPHY; MAGNETIC RESONANCE IMAGING; fluorescence imaging; and MICROSCOPY.
Acute Kidney Injury
Abrupt reduction in kidney function defined as an absolute increase in serum CREATININE of more than or equal to 0.3. mg/dl, a percentage increase in serum creatinine of more than or equal to 50%, or a reduction in urine output. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions.
Spinal Cord Regeneration
Repair of the damaged neuron function after SPINAL CORD INJURY or SPINAL CORD DISEASES.
Anterior Spinal Artery Syndrome
Ischemia or infarction of the spinal cord in the distribution of the anterior spinal artery, which supplies the ventral two-thirds of the spinal cord. This condition is usually associated with ATHEROSCLEROSIS of the aorta and may result from dissection of an AORTIC ANEURYSM or rarely dissection of the anterior spinal artery. Clinical features include weakness and loss of pain and temperature sensation below the level of injury, with relative sparing of position and vibratory sensation. (From Adams et al., Principles of Neurology, 6th ed, pp1249-50)
Muscular Atrophy, Spinal
A group of disorders marked by progressive degeneration of motor neurons in the spinal cord resulting in weakness and muscular atrophy, usually without evidence of injury to the corticospinal tracts. Diseases in this category include Werdnig-Hoffmann disease and later onset SPINAL MUSCULAR ATROPHIES OF CHILDHOOD, most of which are hereditary. (Adams et al., Principles of Neurology, 6th ed, p1089)
PubMed Articles
Diffusion tensor imaging of the spinal cord and its clinical applications.
The identification of the extent of neural damage in patients with acute or chronic spinal cord injury is imperative for the accurate prediction of neurological recovery. The changes in signal intensi...
Assessment of gadolinium leakage into traumatic spinal cord lesion using magnet resonance imaging.
STUDY DESIGN.: Exploratory study in patients with acute spinal cord trauma using magnetic resonance imaging (MRI). OBJECTIVE.: The aim of this study was to assess the leakage of Gd-DTPA into traumatic...
MRI in acute and subacute post-traumatic spinal cord injury: pictorial review.
Study design:Pictorial review.Objectives:To illustrate MRI signs of acute and subacute injury with emphasis on evidence-based links to clinical outcome and implications for treatment.Methods:Descripti...
Study design:A multicenter Canadian cohort study.Objectives:The objective of this study is to evaluate the impact of early versus late surgical decompression on motor neurological recovery after traum...
Tips, tricks and pitfalls in the diagnostic imaging of traumatic spinal cord injuries.
Over the last several decades the survival rate for acute spinal cord lesions has improved, which has resulted in an increased number of chronic spinal cord injuries. Magnetic resonance imaging (MRI)...
Clinical Trials
North American Clinical Trials Network (NACTN) for Treatment of Spinal Cord Injury
The NACTN Registry is a network of clinical centers collecting standardized de-identified data from patients presenting with a new traumatic spinal cord injury(SCI). Information will be c...
Background: Spinal cord injury (SCI) results in dysfunction of motor and sensory system and the hormonal secretion. Not only the change of peripheral hormonal organs, the central neurotran...
This trial is a multi-center, open-label, dose-escalation study designed to evaluate the safety, tolerability and pharmacokinetics of Cethrin in two types of spinal cord injury patients: t...
Scheduled Telephone Intervention for Individuals With Spinal Cord Injury and Their Families
The purpose of this study is to evaluate whether scheduled telephone intervention with individuals with spinal cord injury (SCI) and their caregivers in the first year following discharge...
This study will evaluate the acute safety, tolerability, feasibility and pharmacokinetics of 6 dose regimens of ATI355 in acute spinal cord injury patients
