Cervical spondylotic myelopathy: Cross-sectional transverse
area and hyperintensities on MR

D 2006

Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR

KADAŇKA, Zdeněk a Jiří JARKOVSKÝ

Základní údaje

Originální název

Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR

Název česky

Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR

Autoři

KADAŇKA, Zdeněk a Jiří JARKOVSKÝ

Vydání

England, EUROPEAN JOURNAL OF NEUROLOGY 13: 256-256 Suppl. 2, SEP 2006, od s. 256-256, 1 s. 2006

Nakladatel

BLACKWELL PUBLISHING, 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND

Další údaje

Jazyk

angličtina

Typ výsledku

Stať ve sborníku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.437

Označené pro přenos do RIV

Organizační jednotka

Přírodovědecká fakulta

ISSN

UT WoS

000240523200820

Klíčová slova anglicky

Cervical spondylotic myelopathy

Štítky

cervical spondylotic myelopathy

Změněno: 29. 6. 2008 15:46, RNDr. Jiří Jarkovský, Ph.D.

Anotace

ORIG CZ

V originále

Introduction: The spondylotic cervical spinal cord compression considered from the clinical point of view is a challenging finding for a confusing disproportion between the degree of compression and clinical picture, particularly a pronounced compression and normal somatic status, even with the presence of increased cervical spinal cord intensities. Still the critical degree of spinal cord compression needed to induce pathologic changes in clinical practice is unknown. The aim of this study is to find the threshold of critical compression and its relation to MRI increased signal intensities in the spinal cord. Study group and methods: Study group consisted of 243 patients, the mean age 53.9 +- 9.8 years, with spondylotic cervical spine compression. The cross-sectional area of the spinal cord at the level of maximal compression was measured, MRI hyperintensities were registered and compared to the clinical status that was quantified by the mJOA score. Results: Statistically significant difference was shown between patients with spinal cord area under 50 mm2 and a group of patients with spinal cord area over 70 mm2. There was found a statistically significant difference in m JOA score between patients with smaller (under 50mm2) or larger (over 70mm2) transverse spinal cord area within the group with hyperintensities (p=0.001) whereas within group of patients without hyperintensities, this difference was not observed (p=0.63). Conclusions: Critical degree of spinal cord compression needed to induce clinically pathologic changes is between 50-60 mm2. This relation is valid for the compression accompanied with hyperintensities on MR T2WI.

Česky

Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR

Návaznosti

NR7993, projekt VaV

Název: Prognostické faktory premyelopatické spondylogenní komprese krční míchy: 5-tiletá prospektivní observační kohortová studie

Investor: Ministerstvo zdravotnictví ČR, Prognostické faktory premyelopatické spondylogenní komprese krční míchy: 5-tiletá prospektivní observační kohortová studie

Citovat

KADAŇKA, Zdeněk a Jiří JARKOVSKÝ. Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR. In EUROPEAN JOURNAL OF NEUROLOGY 13: 256-256 Suppl. 2, SEP 2006. England: BLACKWELL PUBLISHING, 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND, 2006, s. 256-256. ISSN 1351-5101.

@inproceedings{710193,
   author = {Kadaňka, Zdeněk and Jarkovský, Jiří},
   address = {England},
   booktitle = {EUROPEAN JOURNAL OF NEUROLOGY 13: 256-256 Suppl. 2, SEP 2006},
   keywords = {Cervical spondylotic myelopathy},
   language = {eng},
   location = {England},
   pages = {256-256},
   publisher = {BLACKWELL PUBLISHING, 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND},
   title = {Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR},
   year = {2006}
}

TY  - CONF
ID  - 710193
AU  - Kadaňka, Zdeněk - Jarkovský, Jiří
PY  - 2006
TI  - Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR
PB  - BLACKWELL PUBLISHING, 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND
CY  - England
KW  - Cervical spondylotic myelopathy
N2  - Introduction: The spondylotic cervical spinal cord compression considered from the clinical point of view is a challenging finding for a confusing disproportion between the degree of compression and clinical picture, particularly a pronounced compression and normal somatic status, even with the presence of increased cervical spinal cord intensities. Still the critical degree of spinal cord compression needed to induce pathologic changes in clinical practice is unknown. The aim of this study is to find the threshold of critical compression and its relation to MRI increased signal intensities in the spinal cord. Study group and methods: Study group consisted of 243 patients, the mean age 53.9 +- 9.8 years, with spondylotic cervical spine compression. The cross-sectional area of the spinal cord at the level of maximal compression was measured, MRI hyperintensities were registered and compared to the clinical status that was quantified by the mJOA score. Results: Statistically significant difference was shown between patients with spinal cord area under 50 mm2 and a group of patients with spinal cord area over 70 mm2. There was found a statistically significant difference in m JOA score between patients with smaller (under 50mm2) or larger (over 70mm2) transverse spinal cord area within the group with hyperintensities (p=0.001) whereas within group of patients without hyperintensities, this difference was not observed (p=0.63). Conclusions: Critical degree of spinal cord compression needed to induce clinically pathologic changes is between 50-60 mm2. This relation is valid for the compression accompanied with hyperintensities on MR T2WI.
ER  -

KADAŇKA, Zdeněk a Jiří JARKOVSKÝ. Cervical spondylotic myelopathy: Cross-sectional transverse area and hyperintensities on MR. In \textit{EUROPEAN JOURNAL OF NEUROLOGY 13: 256-256 Suppl. 2, SEP 2006}. England: BLACKWELL PUBLISHING, 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND, 2006, s.~256-256. ISSN~1351-5101.

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