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KMID : 0361420020260030285
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Journal of Korean Academy of Rehabilitation Medicine
2002 Volume.26 No. 3 p.285 ~ p.291
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Functional Recovery of Patients with Traumatic Central Cord Syndrome
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임성훈/Seong Hoon Lim
고영진/신지남/강세윤/문승국/김종현/Young Jin Ko/Ji Nam Shin/Sae Yoon Kang/Seung Guk Moon/Jong Hyun Kim
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Abstract
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Objective: The aim of this study was to identify factors influencing the degree of neurological injury, show the natural course of recovery, and evaluate the relationship between degree of neurological injury and functional recovery from
traumatic central cord syndrome.
Method: We reviewed 15 patients retrospectively and investigated their demographic and treatment data. Initial ASIA motor scales and functional recovery at 4 weeks and 8 weeks after injury were analyzed.
Results: The age of patients showed significant correlation with degree of neurological injury (r=-0.55145, p＜0.05) while mechanism of injury, surgical intervention and gender difference showed no correlation. Only 2 patients (13.3%)
ambulated
independently at initial period but subsequently 13 patients (86.7%) at 8 weeks. The number of patients who independently voided increased from 2 (13.3%) to 11 (73.3%) during the 8 weeks. Early ASIA motor score differed significantly according to
the
degree of functional recovery of bladder and ambulation in 4 weeks, 8 weeks after injury (p＜0.05).
Conclusion: Only the age of patients related to the initial neurologic severity. Most patients regained their bladder and ambulatory functions considerably within 8 weeks, and the degree of early neurological injury by ASIA motor scale
reflected
the degree of functional recovery in 4 and 8 weeks after injury.
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KEYWORD
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