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.
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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