Spinal ischaemic stroke: clinical and radiological findings and short-term outcome

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dc.contributor.authorKumral, E.
dc.contributor.authorPolat, F.
dc.contributor.authorGulluoglu, H.
dc.contributor.authorUzunkopru, C.
dc.contributor.authorTuncel, R.
dc.contributor.authorAlpaydin, S.
dc.date.accessioned2019-10-27T21:25:10Z
dc.date.available2019-10-27T21:25:10Z
dc.date.issued2011
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground and purpose: The mechanism and pathogenesis of ischemic spinal stroke remain largely undetermined because most clinical studies have included mostly patients without a systematic study of associated vascular and concomitant disease of the vertebral body. Therefore, we assessed the pathogenetic mechanisms and short-term outcomes of the patients with spinal stroke based on clinical data and magnetic resonance imaging findings. Methods: We studied clinical, imaging, and outcome data for 36 patients with acute spinal stroke admitted between 1998 and 2008. There were 16 men and 20 women (mean age 73, range 56-85 years). Results: Twelve patients (33%) had anterior spinal artery patterns, 8 (22%) had anterior and 6 (17%) had posterior unilateral infarct, 5 (14%) had posterior spinal artery infarct pattern, 3 (8%) had central involvement, and 2 (5%) had transverse syndrome. Twelve patients (33%) had no cause of stroke. Patients with central infarct and transverse infarct had a high frequency of peripheral vascular disease and prolonged hypotension, and one patient each had a chronic spinal disease. The onset of all other infarcts was associated with mechanical triggering movements in 12 patients (41%, P < 0.05), and with diseases of the spine in 19 (66%; P < 0.001), with the clinical picture suggesting root involvement at the level of the spinal cord ischemia. The short-term outcomes were favorable in two-thirds of patients, while 25% of them did not show any recovery on leaving the hospital. Conclusion: The most common type of spinal cord ischemia is bilateral or unilateral anterior spinal artery infarcts due to radicular artery disease with acute or chronic spinal disease and followed by central and transverse infarcts due to extensive spinal cord hypoperfusion and arteriopathy.en_US
dc.identifier.doi10.1111/j.1468-1331.2010.02994.xen_US
dc.identifier.endpage239en_US
dc.identifier.issn1351-5101
dc.identifier.issue2en_US
dc.identifier.pmid20402756en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage232en_US
dc.identifier.urihttps://doi.org/10.1111/j.1468-1331.2010.02994.x
dc.identifier.urihttps://hdl.handle.net/11454/44769
dc.identifier.volume18en_US
dc.identifier.wosWOS:000286225400009en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofEuropean Journal of Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectmagnetic resonance imagingen_US
dc.subjectshort-term outcomeen_US
dc.subjectspinal strokeen_US
dc.titleSpinal ischaemic stroke: clinical and radiological findings and short-term outcomeen_US
dc.typeArticleen_US

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