Early MR abnormality indicating functional recovery from spontaneous intracerebral hemorrhage.
Magnetic resonance (MR) imaging as an indicator of recovery from hemiparesis was evaluated in 60 patients with spontaneous intracerebral hemorrhage. T2-weighted MR images revealed early MR abnormality (EMA) of the corticospinal tract within 1 week of ictus. Most patients without EMA recovered beyond Brunnstrom's Recovery Stage 3 while only a few patients with EMA did so. Patients with EMA cannot regain motor function because EMA is almost always followed by complete tract degeneration. EMA in the brainstem and poor motor function recovery are closely correlated.
Fumeya
H
H
Division of Neurosurgery, Hideshima Hospital, Tokyo.
Hideshima
H
H
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000150:complications / Q000473:pathology*; D005260:Female; D015600:Glasgow Coma Scale; D006406:Hematoma / Q000209:etiology / Q000473:pathology; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011712:Pyramidal Tracts / Q000473:pathology; D012422:Rupture, Spontaneous; D014855:Wallerian Degeneration