High Spinal Cord Injury Characterized by Flaccid Paralysis
- VernacularTitle:以弛缓性瘫痪为特点的高位置脊髓损伤临床特征探讨
- Author:
Mingliang YANG
;
Jianjun LI
;
Li YUAN
;
Huiming GONG
;
Liang WU
- Publication Type:Journal Article
- Keywords:
spinal cord injury, spinal fracture, flaccid paralysis, spinal cord atrophy
- From:
Chinese Journal of Rehabilitation Theory and Practice
2010;16(3):212-213
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the characteristics of patients with flaccid paralysis after high spinal cord injury. Methods1014 cases with traumatic spinal cord injury were investigated. The patients with flaccid paralysis after high spinal cord injury (spinal fractures above the level of T10) were analyzed. Results6 patients were ananlyzed, including 5 males and 1 female, mean of age was (42±12). The neurological injury involved C7 to T8, and the fractures involved T3 to T10. 3 cases had the neurological deterioration upward at least 3 spinal segments after operation compared with the fractures. One case accomplicated with severe pain in the chest had the subacute progressive ascending myelopathy up to C7 level. MRI showed extensive atrophy of thoracic spinal cord 6 months later in 5 cases. ConclusionThe incidence of flaccid paralysis after high spinal cord injury was rare. It presents the extensive thoracic spinal cord atrophy, and the causes and mechanisms are not clear.
