Neurolgy 2012;;78: 114-121 Robertson, Brown, Wijdicks, and Rabinstein. Mayo Clinic
Authors debunk myths of spinal cord infarcts. Retrospective study of patients show many improved over time. Among their findings
1. Gradual improvement was common after hospital dismissal. More than half walked aided or unaided eventually.
2. One third of those catheterised at dismissal did not require catheter long term
3. MRI's were frequently normal initially and even occassionally on followup MRI
4. ASIA A/B predicted a poor outcome, but not invariably. Other predictors of poor outcome included absent Babinski sign, sensory level, longitudinally extensive MRI, and lesions in highest thoracic level. NON RISK FACTORS included age, mechanism, gender were not predictive of a poor functonal outcome
5. There was a fairly high early mortality, around 26 % that was associated with HTN, DM, smoking, PVD, severity of impairment, and age (ie traditional risk factors mostly).
6. Pain especially back pain was a common initial finding and a common longterm problem of survivors.
Authors debunk myths of spinal cord infarcts. Retrospective study of patients show many improved over time. Among their findings
1. Gradual improvement was common after hospital dismissal. More than half walked aided or unaided eventually.
2. One third of those catheterised at dismissal did not require catheter long term
3. MRI's were frequently normal initially and even occassionally on followup MRI
4. ASIA A/B predicted a poor outcome, but not invariably. Other predictors of poor outcome included absent Babinski sign, sensory level, longitudinally extensive MRI, and lesions in highest thoracic level. NON RISK FACTORS included age, mechanism, gender were not predictive of a poor functonal outcome
5. There was a fairly high early mortality, around 26 % that was associated with HTN, DM, smoking, PVD, severity of impairment, and age (ie traditional risk factors mostly).
6. Pain especially back pain was a common initial finding and a common longterm problem of survivors.
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