PT -期刊文章AU -凯莉·e·罗伯逊盟-罗伯特·d·布朗,小非盟- Eelco F.M. Wijdicks AU -亚历杭德罗a Rabinstein TI -恢复- 10.1212 / WNL脊髓梗死后援助。0 b013e31823efc93 DP - 2012 1月10 TA -神经首页病学第六PG - 114 - 121 - 78 IP - 2 4099 - //www.ez-admanager.com/content/78/2/114.short 4100 - //www.ez-admanager.com/content/78/2/114.full所以Neurology2012 1月10;78 AB -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)。 Impairment at nadir was ASIA A 23%, B 26%, C 14%, and D 37%. A total of 75/93 (81%) patients studied with MRI had cord signal abnormality. 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

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