Recovery following ischemic myelopathy.
Motor and sensory recovery were determined in five patients with ischemic myelopathy associated with traumatic laceration or surgical manipulation of the thoracic aorta. The neurologic level of injury was between T-2 and T-10. All patients had an anterior spinal artery pattern of incomplete spinal cord injury consisting of relatively greater loss of motor function than sensation and preservation of sacral sensation. None of the three patients with zero lower extremity motor function at 30 regained any motor function at 1 year. Two patients with partial motor function 1 month after infarction had further motor recovery at 1 year. One of these two individuals was able to ambulate independently with a reciprocal gait using orthoses.
Waters
R L
RL
Rancho Los Amigos Medical Center, Downey, CA 90242.
Sie
I
I
Yakura
J
J
Adkins
R
R
D000293:Adolescent; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005500:Follow-Up Studies; D005684:Gait; D006801:Humans; D007238:Infarction / Q000145:classification / Q000209:etiology / Q000503:physiopathology* / Q000534:rehabilitation; D015601:Injury Severity Score; D007511:Ischemia / Q000145:classification / Q000209:etiology / Q000503:physiopathology* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D009460:Neurologic Examination; D009989:Orthotic Devices; D011183:Postoperative Complications / Q000145:classification / Q000209:etiology / Q000503:physiopathology*; D011379:Prognosis; D012677:Sensation; D013116:Spinal Cord / Q000098:blood supply*; D014950:Wounds, Penetrating / Q000150:complications* / Q000601:surgery