% 0期刊文章%凯莉·e·罗伯逊%罗伯特·D·布朗,小%一个Eelco F.M. Wijdicks % Alejandro A . Rabinstein % T复苏后脊髓梗死% B 115名患者的长期结果% D R 10.1212 / WNL 2012%。0 b013e31823efc93 % 首页J神经病学% P 114 - 121 X % V 78% N 2%目的:探讨脊髓梗死的患者的长期预后(SCI)并确定预后预测指标。方法:我们回顾了115年SCI患者治疗在1990和2007之间。损伤的严重程度定义使用美国脊髓损伤学会(亚洲)得分。功能结果端点是流动的状态,需要膀胱导管,和痛苦。结果:平均年龄是64岁;72例(62.6%)病人都是男性。总共45%的梗塞围手术期主动脉手术(69%)。共有68%的1小时内达到最大赤字(平均= 5个小时)。障碍在最低点是亚洲23%,26%,14%,37%和D。共有75/93(81%)的患者进行MRI脊髓信号异常。 At nadir, 81% required wheelchair, 86% required catheterization, and 32% had pain. At last follow-up (mean = 3 years), 23% had died. Among survivors, 42% required a wheelchair, 54% required catheterization, and 29% had pain upon last follow-up. Of 74 patients using a wheelchair at hospital dismissal, 41% were walking by final follow-up. Of 83 patients catheterized at dismissal, 33% were catheter-free at last follow-up. Older age (p < 0.0001), increased severity of impairment at nadir (p = 0.02), and peripheral vascular disease (p = 0.003) were independent risk factors for mortality. Severe impairment (ASIA A/B) at nadir predicted wheelchair use (p < 0.0001) and bladder catheterization (p < 0.0001) at last follow-up. Conclusions: Gradual improvement in not uncommon after spinal cord infarction and it may continue long after hospital dismissal. While severe impairment at nadir is the strongest predictor of poor functional outcome, meaningful recovery is also possible in a substantial minority of these patients. ASIA=American Spinal Injury Association; CI=confidence interval; HR=hazard ratio; OR=odds ratio; SCI=spinal cord infarct %U //www.ez-admanager.com/content/neurology/78/2/114.full.pdf