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KMID : 0359819930220020261
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 2 p.261 ~ p.266
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Magnetic Resonance Lmaging and Surgical Decsion of the Degenerative Cervical Spine Lesions
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김원기
김동원/이장철/손은익/임만빈/김인홍
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Abstract
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We undertook a retrospective analysis of 30 patients admitted ot the Department of Neurosurgery Dongsan Medical Center keimyung University utilizing Magnetic Resonanace Imaging (MRI) to make diagnosis and surgical indication of degenerative
cervical
spine lesions. All patietns were taken T1 Weighted Image (TlWl) T2 Weighted Image (T2WI) and gradient echo image on 2.0 Tesla unit. Pre- and postoperative MRI were obtained seven of 15 cases with myelopathy.
All patients could be evaluated the extent and degree of disc herniation, osteophytes and cord compression. A focal area of High-Signal-Intensity (HIS) was observed on T2WI in 15 patients with myelopathy predominantly. HIS diminished
postoperatively in
the patients who improved clinically and remained the same in one case whose condition remained unchanged after decompression.
We think MRI with high resolution images in the initial procedure of choice in decisionmaking of patients with degenerative cervical spine lesion. Furthermore HIS of the spinal cord produced by compressive lesions appears ot be an important
indicatior
for predicting prognosis of patients with myelopathy.
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KEYWORD
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