title: Posterior circulation infarction in patients with traumatic cervical spinal cord injury and its relationship to vertebral artery injury.
abstract: METHODS
  Prospective study.
  
  
  OBJECTIVE
  To ascertain the prevalence of posterior circulation stroke in traumatic chronic spinal cord injured (SCI) patients and associated traumatic vertebral artery injuries (VAI).
  
  
  METHODS
  All adult patients with cervical SCI and American Spinal Injury Association Impairment Scale (AIS) grade A or B referred for follow-up magnetic resonance imaging of their spinal cord were invited to take part in the study between January 2010 and December 2012 at the National Spinal Injury Centre. Two additional sequences were added to the existing imaging protocol to evaluate the brain and vertebral arteries.
  
  
  RESULTS
  Ninety-eight patients were recruited. All imaging were analysed independently by three consultant radiologists. Posterior circulation infarcts were noted in seven (7%) patients. Significant VAI was noted in 13 patients (13%) with 10 occlusions and 3 with high-grade stenosis. However, only one patient had co-existent posterior circulation infarct and significant VAI.
  
  
  CONCLUSIONS
  There is an increased prevalence of posterior circulation infarction in SCI patients. The relationship with associated traumatic VAI requires further investigation.
authors.affiliation: Department of Radiology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: L L
authors.initials: LL
authors.lastname: de Heredia
authors.affiliation: National Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: M
authors.initials: M
authors.lastname: Belci
authors.affiliation: Department of Neurology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: D
authors.initials: D
authors.lastname: Briley
authors.affiliation: Department of Radiology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: R J
authors.initials: RJ
authors.lastname: Hughes
authors.affiliation: Department of Radiology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: B
authors.initials: B
authors.lastname: McNeillis
authors.affiliation: Department of Radiology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: T M
authors.initials: TM
authors.lastname: Meagher
authors.affiliation: Department of Radiology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: S
authors.initials: S
authors.lastname: Yanny
authors.affiliation: Department of Radiology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Ayelsbury, UK.
authors.forename: D
authors.initials: D
authors.lastname: McKean
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001921:Brain / Q000473:pathology; D020520:Brain Infarction / Q000150:complications* / Q000453:epidemiology / Q000473:pathology; D066193:Cervical Cord / Q000293:injuries* / Q000473:pathology; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D013119:Spinal Cord Injuries / Q000150:complications* / Q000453:epidemiology / Q000473:pathology; D014711:Vertebral Artery / Q000293:injuries* / Q000473:pathology; D055815:Young Adult