Long-term Outcomes Following Periprocedural and Spontaneous Spinal Cord Infarctions: A Population-Based Cohort Study.
Vasilios StenimahitisAlexander Fletcher-SandersjööVictor Gabriel El-HajjClaes HultlingMagnus AnderssonOlafur SveinssonAdrian Elmi TeranderErik EdströmPublished in: Neurology (2023)
SCInf is a rare neurological emergency lacking specific management guidelines. While the presumptive diagnosis is based on the typical presentation and clinical findings, T2-weighted and diffusion-weighted MRI were the most useful diagnostic tools in establishing a definitive diagnosis. Our data shows that spontaneous SCInf mostly affected a single spinal cord segment while periprocedural cases were more extensive, had poorer AIS on admission, poorer ambulatory function, and longer hospital stays. Regardless of the etiology, significant neurological improvements were seen at long-term follow-up, highlighting the importance of active rehabilitation.
Keyphrases
- contrast enhanced
- spinal cord
- diffusion weighted
- magnetic resonance imaging
- emergency department
- magnetic resonance
- computed tomography
- spinal cord injury
- neuropathic pain
- healthcare
- percutaneous coronary intervention
- diffusion weighted imaging
- direct oral anticoagulants
- blood pressure
- public health
- big data
- radiation therapy
- catheter ablation
- cerebral ischemia
- machine learning
- squamous cell carcinoma
- acute coronary syndrome
- adverse drug
- acute care
- locally advanced
- brain injury
- deep learning
- blood brain barrier