Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, Iran

Background. Spinal Cord Infarction (SCI) is a rare and disabling disease. This hospital-based study was conducted for clinical evaluation of SCI patients in east of Iran. Methods. Consecutive SCI patients admitted in Ghaem hospital,Mashhad during 2006–2010 were enrolled in a prospective clinical stu...

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Main Authors: Kavian Ghandehari, Mohammad Reza Gerami Sarabi, Parham Maarufi
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.4061/2010/942417
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author Kavian Ghandehari
Mohammad Reza Gerami Sarabi
Parham Maarufi
author_facet Kavian Ghandehari
Mohammad Reza Gerami Sarabi
Parham Maarufi
author_sort Kavian Ghandehari
collection DOAJ
description Background. Spinal Cord Infarction (SCI) is a rare and disabling disease. This hospital-based study was conducted for clinical evaluation of SCI patients in east of Iran. Methods. Consecutive SCI patients admitted in Ghaem hospital,Mashhad during 2006–2010 were enrolled in a prospective clinical study. Diagnosis of SCI was made by neurologists and radiologists. Demographic features, clinical syndrome, and Magnetic Resonance Imaging (MRI) findings were recorded. All of the patients underwent a standard battery of diagnostic investigations. All of the patients suspected to SCI had MRI of spinal cord at the symptomatic level of cord with a 0.5 Tesla generation, Philips NT Intra, Netherland equipment. An equal number of patients with Brain Infarction (BI) were randomly selected from our stroke registry data bank. Etiology and degree of disability were compared between these groups of patients. Results. Fourteen SCI patients (9 females, 5 males) with mean age 38.8±SD: 19.9 years were evaluated. Miscellaneous causes consisted 50% of etiologies in patients with SCI. Uncertain etiology, atherosclerosis, and cardioembolisms consisted 35.7%, 7.1%, and 7.1% of SCI causes, respectively. Distribution of etiologies was significantly different between SCI and BI patients, X2=12.94, df=3, P=.003. Difference in mean disability score at acute phase of stroke was not significant between two studied groups, z=1.54, P=.057. Difference in mean changes of disability score at 90 days postevent was significant in two groups of patients, z=2.65, P=.019. Conclusion. SCI is a rare disease with poor recovery. Distribution of etiologies of SCI patients is quite different than of BI patients.
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spelling doaj-art-680c6ad3a5b048a69eabd2c96eca4bef2025-02-03T06:43:54ZengWileyStroke Research and Treatment2042-00562010-01-01201010.4061/2010/942417942417Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, IranKavian Ghandehari0Mohammad Reza Gerami Sarabi1Parham Maarufi2Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Neurology, Ghaem Hospital, Ahmadabad Street, P.O. Box 91766-99199, IranDepartment of Orthopedic Surgery, Tabriz University of Medical Sciences, P.O. Box 8768, Tabriz, IranBackground. Spinal Cord Infarction (SCI) is a rare and disabling disease. This hospital-based study was conducted for clinical evaluation of SCI patients in east of Iran. Methods. Consecutive SCI patients admitted in Ghaem hospital,Mashhad during 2006–2010 were enrolled in a prospective clinical study. Diagnosis of SCI was made by neurologists and radiologists. Demographic features, clinical syndrome, and Magnetic Resonance Imaging (MRI) findings were recorded. All of the patients underwent a standard battery of diagnostic investigations. All of the patients suspected to SCI had MRI of spinal cord at the symptomatic level of cord with a 0.5 Tesla generation, Philips NT Intra, Netherland equipment. An equal number of patients with Brain Infarction (BI) were randomly selected from our stroke registry data bank. Etiology and degree of disability were compared between these groups of patients. Results. Fourteen SCI patients (9 females, 5 males) with mean age 38.8±SD: 19.9 years were evaluated. Miscellaneous causes consisted 50% of etiologies in patients with SCI. Uncertain etiology, atherosclerosis, and cardioembolisms consisted 35.7%, 7.1%, and 7.1% of SCI causes, respectively. Distribution of etiologies was significantly different between SCI and BI patients, X2=12.94, df=3, P=.003. Difference in mean disability score at acute phase of stroke was not significant between two studied groups, z=1.54, P=.057. Difference in mean changes of disability score at 90 days postevent was significant in two groups of patients, z=2.65, P=.019. Conclusion. SCI is a rare disease with poor recovery. Distribution of etiologies of SCI patients is quite different than of BI patients.http://dx.doi.org/10.4061/2010/942417
spellingShingle Kavian Ghandehari
Mohammad Reza Gerami Sarabi
Parham Maarufi
Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, Iran
Stroke Research and Treatment
title Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, Iran
title_full Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, Iran
title_fullStr Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, Iran
title_full_unstemmed Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, Iran
title_short Clinical Evaluation of Patients with Spinal Cord Infarction in Mashhad, Iran
title_sort clinical evaluation of patients with spinal cord infarction in mashhad iran
url http://dx.doi.org/10.4061/2010/942417
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