TO ASSESS THE NEUROLOGICAL DEFICITS OF PATIENTS WITH ACUTE SPINAL TRAUMA ON ADMISSION AND DISCHARGE IN MRI FINDING

Abstract

Background & Method: Cases of acute spinal trauma who underwent MRI of spine in the department of radio diagnosis, Index Medical College Hospital & Research Centre, Indore from June 2018 to May 2019 were included in the study. Detailed neurological examination of the patient was done during the scan. Detailed neurological examination of the patient was also during his or her discharge from the hospital, with a sample size of 57 was selected.
 Result: MRI examination revealed the cord abnormalities in 30 out of 57 patients, i.e. in 52.63% of patients. Rest 47.36% of patients had no cord findings in MRI. Cord oedema more than 3 cms was there in 17 out of 57 patients (29.82%). Cord oedema less than 3 cms was there in 13 out of 57 patients (22.80%). 8 of 57 patients (14.03%) showed haemorrhagic focus within the cord in MRI. In our study 11 of 57 patients (19%) showed improvement and 24 patients (42%) showed no improvement. 22 patients had no neurological deficits on admission.
 Conclusion: Present study was conducted with aim to correlate MR findings with neurological outcome of the patients with acute spinal trauma, it was concluded that various MRI findings in acute spinal cord injury correlate well with the neurological deficits on admission and discharge according to ASIA impairment scale.
 Keywords: neurological, spinal trauma, & MRI.