NeuroRehabilitation - Volume 22, issue 2

Authors: Shin, Yong-Il | Yang, Chung-Yong | Joo, Min-Cheol | Moon, Seong-Keun | Park, Jong-Tae | Kim, Tai-Jin

Article Type: Case Report

Abstract: Spontaneous spinal epidural hematoma (SSEH) is a rare space-occupying disease. The pathogenesis of SSEH is unclear, but anticoagulant therapy, arteriovenous malformation, coagulopathy, tumors and infection are risk factors. Ventral SSEH is even more rare, as the ventral sac is fixed firmly to the posterior longitudinal ligament. The authors report a very rare case, a 16-year-old previously healthy female who had repeated relapse of cervico-thoracic SSEH. This occurred three times in the ventral epidural space with subsequent syringomyelia, without structural abnormality and coagulopathy. The patient underwent conservative care twice, and two operations. The diagnosis was made by magnetic resonance imaging. In …rapidly progressing SSEH, the clinician should make the diagnosis as early as possible to enable spinal decompression surgery. Show more

Keywords: Hematoma, epidural, recurrence, syringomyelia, spinal cord

DOI: 10.3233/NRE-2007-22211

Citation: NeuroRehabilitation, vol. 22, no. 2, pp. 147-150, 2007

Authors: Han, Bong Soo | Kim, Seong Ho | Kim, Oh Lyong | Cho, Soo Ho | Kim, Yun-Hee | Jang, Sung Ho

Article Type: Case Report

Abstract: Objectives: The purpose of this study is to identity the recovery process of the corticospinal tract with diffuse axonal injury (DAI) using diffusion tensor imaging (DTI). Design: A 47-year-old female patient and six age-matched control subjects were evaluated. The patient presented with quadriparesis (more severe in the right extremities than the left ones) due to DAI at the onset of traumatic brain injury. Over the 24-month period following the onset of the injury, motor function of the four extremities slowly recovered to range which was close to normal. Two longitudinal DTIs were acquired from the patient (at …10 weeks and 24 months from onset) and from the control subjects. Fractional anisotropy (FA) and an apparent diffusion coefficient were measured using the region of interest (ROI) method. Results: On the 10-week DTI, FAs of ROIs of the brainstem in both hemispheres of the patient were significantly lower than those of the control subjects. Compared to normal controls, the patient showed significantly increased FA in both sides of the brainstem at 24 months after the onset, which occurred in parallel with the improvement in motor function. Conclusions: Recovery in this patient could be attributed to the recovery of the corticospinal tract with diffuse axonal injury. Show more

Keywords: Motor recovery, diffusion tensor image, corticospinal tract, diffuse axonal injury

DOI: 10.3233/NRE-2007-22212

Citation: NeuroRehabilitation, vol. 22, no. 2, pp. 151-155, 2007

Article Type: Correction

DOI: 10.3233/NRE-2007-22213

Citation: NeuroRehabilitation, vol. 22, no. 2, pp. 157-157, 2007