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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Language: | English |
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Wiley
2010-01-01
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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. |
format | Article |
id | doaj-art-680c6ad3a5b048a69eabd2c96eca4bef |
institution | Kabale University |
issn | 2042-0056 |
language | English |
publishDate | 2010-01-01 |
publisher | Wiley |
record_format | Article |
series | Stroke Research and Treatment |
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 |
work_keys_str_mv | AT kavianghandehari clinicalevaluationofpatientswithspinalcordinfarctioninmashhadiran AT mohammadrezageramisarabi clinicalevaluationofpatientswithspinalcordinfarctioninmashhadiran AT parhammaarufi clinicalevaluationofpatientswithspinalcordinfarctioninmashhadiran |