Spinal epidural hematoma: Relationship between imaging findings and neurological outcomes

Noguchi Tomoyuki, Oguri Shuichi, Yamaguchi Toshihiro, Kamitani Takeshi, Saku Madoka, Kimura Masahiko, Nakamura Yusuke, Murakami Junji, Nagata Shinji, Nagano Sukehisa, Furuya Junichiro

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

Purpose: The purpose of this study was to evaluate the usefulness of CT or MR imaging findings in patients with spinal epidural hematoma (SEH) for predicting neurological outcome. Materials and Methods: MR images of our six patients with SEH were evaluated retrospectively : complete recovery was achieved in two patients; paresis remained in two patients; and paraplegia remained in two patients. The ratio of the maximum anteroposterior diameter of the SEH to that of the spinal canal was calculated in each patient on midline on axial images in our six patients and 23 previously reported patients. Results: Among our six patients, the ratio was less than 60 % in two patients with total recovery, whereas all four patients with remaining motor impairment had ratios of 60% or more. Of 29 cases, 18 of 22 patients without residual motor impairment had ratios of less than 60%, but five of seven patients with residual motor deficits had ratios of 60% or more (p = 0.023). Conclusion: The degree of spinal cord compression by hematoma may be a prognostic factor in SEH.

元の言語英語
ページ(範囲)385-389
ページ数5
ジャーナルNippon Acta Radiologica
63
発行部数8
出版物ステータス出版済み - 8 25 2003

Fingerprint

Spinal Epidural Hematoma
Spinal Cord Compression
Spinal Canal
Paraplegia
Paresis

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Oncology

これを引用

Tomoyuki, N., Shuichi, O., Toshihiro, Y., Takeshi, K., Madoka, S., Masahiko, K., ... Junichiro, F. (2003). Spinal epidural hematoma: Relationship between imaging findings and neurological outcomes. Nippon Acta Radiologica, 63(8), 385-389.

Spinal epidural hematoma : Relationship between imaging findings and neurological outcomes. / Tomoyuki, Noguchi; Shuichi, Oguri; Toshihiro, Yamaguchi; Takeshi, Kamitani; Madoka, Saku; Masahiko, Kimura; Yusuke, Nakamura; Junji, Murakami; Shinji, Nagata; Sukehisa, Nagano; Junichiro, Furuya.

:: Nippon Acta Radiologica, 巻 63, 番号 8, 25.08.2003, p. 385-389.

研究成果: ジャーナルへの寄稿記事

Tomoyuki, N, Shuichi, O, Toshihiro, Y, Takeshi, K, Madoka, S, Masahiko, K, Yusuke, N, Junji, M, Shinji, N, Sukehisa, N & Junichiro, F 2003, 'Spinal epidural hematoma: Relationship between imaging findings and neurological outcomes', Nippon Acta Radiologica, 巻. 63, 番号 8, pp. 385-389.
Tomoyuki N, Shuichi O, Toshihiro Y, Takeshi K, Madoka S, Masahiko K その他. Spinal epidural hematoma: Relationship between imaging findings and neurological outcomes. Nippon Acta Radiologica. 2003 8 25;63(8):385-389.
Tomoyuki, Noguchi ; Shuichi, Oguri ; Toshihiro, Yamaguchi ; Takeshi, Kamitani ; Madoka, Saku ; Masahiko, Kimura ; Yusuke, Nakamura ; Junji, Murakami ; Shinji, Nagata ; Sukehisa, Nagano ; Junichiro, Furuya. / Spinal epidural hematoma : Relationship between imaging findings and neurological outcomes. :: Nippon Acta Radiologica. 2003 ; 巻 63, 番号 8. pp. 385-389.
@article{bd89ce9aa4534d45b59e75e1bde58ad4,
title = "Spinal epidural hematoma: Relationship between imaging findings and neurological outcomes",
abstract = "Purpose: The purpose of this study was to evaluate the usefulness of CT or MR imaging findings in patients with spinal epidural hematoma (SEH) for predicting neurological outcome. Materials and Methods: MR images of our six patients with SEH were evaluated retrospectively : complete recovery was achieved in two patients; paresis remained in two patients; and paraplegia remained in two patients. The ratio of the maximum anteroposterior diameter of the SEH to that of the spinal canal was calculated in each patient on midline on axial images in our six patients and 23 previously reported patients. Results: Among our six patients, the ratio was less than 60 {\%} in two patients with total recovery, whereas all four patients with remaining motor impairment had ratios of 60{\%} or more. Of 29 cases, 18 of 22 patients without residual motor impairment had ratios of less than 60{\%}, but five of seven patients with residual motor deficits had ratios of 60{\%} or more (p = 0.023). Conclusion: The degree of spinal cord compression by hematoma may be a prognostic factor in SEH.",
author = "Noguchi Tomoyuki and Oguri Shuichi and Yamaguchi Toshihiro and Kamitani Takeshi and Saku Madoka and Kimura Masahiko and Nakamura Yusuke and Murakami Junji and Nagata Shinji and Nagano Sukehisa and Furuya Junichiro",
year = "2003",
month = "8",
day = "25",
language = "English",
volume = "63",
pages = "385--389",
journal = "Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica",
issn = "0048-0428",
publisher = "Japan Radiological Society",
number = "8",

}

TY - JOUR

T1 - Spinal epidural hematoma

T2 - Relationship between imaging findings and neurological outcomes

AU - Tomoyuki, Noguchi

AU - Shuichi, Oguri

AU - Toshihiro, Yamaguchi

AU - Takeshi, Kamitani

AU - Madoka, Saku

AU - Masahiko, Kimura

AU - Yusuke, Nakamura

AU - Junji, Murakami

AU - Shinji, Nagata

AU - Sukehisa, Nagano

AU - Junichiro, Furuya

PY - 2003/8/25

Y1 - 2003/8/25

N2 - Purpose: The purpose of this study was to evaluate the usefulness of CT or MR imaging findings in patients with spinal epidural hematoma (SEH) for predicting neurological outcome. Materials and Methods: MR images of our six patients with SEH were evaluated retrospectively : complete recovery was achieved in two patients; paresis remained in two patients; and paraplegia remained in two patients. The ratio of the maximum anteroposterior diameter of the SEH to that of the spinal canal was calculated in each patient on midline on axial images in our six patients and 23 previously reported patients. Results: Among our six patients, the ratio was less than 60 % in two patients with total recovery, whereas all four patients with remaining motor impairment had ratios of 60% or more. Of 29 cases, 18 of 22 patients without residual motor impairment had ratios of less than 60%, but five of seven patients with residual motor deficits had ratios of 60% or more (p = 0.023). Conclusion: The degree of spinal cord compression by hematoma may be a prognostic factor in SEH.

AB - Purpose: The purpose of this study was to evaluate the usefulness of CT or MR imaging findings in patients with spinal epidural hematoma (SEH) for predicting neurological outcome. Materials and Methods: MR images of our six patients with SEH were evaluated retrospectively : complete recovery was achieved in two patients; paresis remained in two patients; and paraplegia remained in two patients. The ratio of the maximum anteroposterior diameter of the SEH to that of the spinal canal was calculated in each patient on midline on axial images in our six patients and 23 previously reported patients. Results: Among our six patients, the ratio was less than 60 % in two patients with total recovery, whereas all four patients with remaining motor impairment had ratios of 60% or more. Of 29 cases, 18 of 22 patients without residual motor impairment had ratios of less than 60%, but five of seven patients with residual motor deficits had ratios of 60% or more (p = 0.023). Conclusion: The degree of spinal cord compression by hematoma may be a prognostic factor in SEH.

UR - http://www.scopus.com/inward/record.url?scp=0642365737&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0642365737&partnerID=8YFLogxK

M3 - Article

C2 - 14587407

AN - SCOPUS:0642365737

VL - 63

SP - 385

EP - 389

JO - Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica

JF - Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica

SN - 0048-0428

IS - 8

ER -