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Spinal Cord Atrophy and Early Motor Recovery following Transverse Myelitis in Pediatric Patients
Annals of Rehabilitation Medicine ; : 328-333, 2012.
Artigo em Inglês | WPRIM | ID: wpr-59514
ABSTRACT

OBJECTIVE:

To compare the motor recovery following transverse myelitis in pediatric patients with and without spinal cord atrophy.

METHOD:

From January 1995 through December 2009, twenty children (8 boys and 12 girls with an onset at 5.7+/-3.8 years) that were diagnosed with transverse myelitis at a Children's Hospital in Korea, and undertaken an initial and follow-up spine magnetic resonance image (MRI) were included. Medical records and spine MRI scans were reviewed retrospectively. An initial MRI was taken 5.1+/-8.7 days after the onset. The interval between an initial and follow-up MRIs was 33.4+/-23.0 days. The motor recovery differences between subjects with and without spinal cord atrophy on follow-up MRIs were determined. Motor recovery was defined as the elevation of one or more grades of manual muscle tests of the Medical Research Council.

RESULTS:

Eight patients had developed spinal cord atrophies and 12 patients had not. Of the 8 patients with spinal cord atrophy, 7 showed no motor improvement. Among the 12 patients without atrophy, 11 had motor improvement. Spinal cord atrophy on follow-up MRIs were related to the risk of no motor improvement (odds ratio=77.0, 95% confidence interval [4.114-1441.049], p-value=0.001).

CONCLUSION:

Children with transverse myelitis who had developed spinal cord atrophy on follow-up MRIs had poor motor recovery than those who had not. The appearance of spinal cord atrophy on follow-up MRI could be an indicator of poor prognosis in pediatric transverse myelitis.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pediatria / Prognóstico / Atrofia / Medula Espinal / Coluna Vertebral / Imageamento por Ressonância Magnética / Espectroscopia de Ressonância Magnética / Prontuários Médicos / Estudos Retrospectivos / Seguimentos Tipo de estudo: Guia de Prática Clínica / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Criança / Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Annals of Rehabilitation Medicine Ano de publicação: 2012 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pediatria / Prognóstico / Atrofia / Medula Espinal / Coluna Vertebral / Imageamento por Ressonância Magnética / Espectroscopia de Ressonância Magnética / Prontuários Médicos / Estudos Retrospectivos / Seguimentos Tipo de estudo: Guia de Prática Clínica / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Criança / Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Annals of Rehabilitation Medicine Ano de publicação: 2012 Tipo de documento: Artigo