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Published in: Journal of Neurology 11/2013

01-11-2013 | Original Communication

Analysis of high-voltage electrical spinal cord injury using diffusion tensor imaging

Authors: Suk Hoon Ohn, Deog Young Kim, Ji Cheol Shin, Seung Min Kim, Woo-Kyoung Yoo, Seung-Koo Lee, Chang-hyun Park, Kwang-Ik Jung, Ki Un Jang, Cheong Hoon Seo, Sung Hye Koh, Bora Jung

Published in: Journal of Neurology | Issue 11/2013

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Abstract

The aim of this study was to investigate spinal cord injury (SCI) on the basis of diffusion tensor imaging (DTI) in patients with high-voltage electrical injury. We recruited eight high-voltage electrical injury patients and eight healthy subjects matched for age and sex. DTI and central motor conduction time were acquired in both the patient and control groups. We obtained DTI indices according to the spinal cord levels (from C2 to C7) and cross-section locations (anterior, lateral, and posterior). Fractional anisotrophy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) were compared between the two groups; additionally, they were compared in relation to spinal cord level and cross-section location. In the patient group relative to the control group, the FA value decreased and the MD and RD values increased in all of the regions of interest (ROI) with statistical significance (p < 0.05). In the patient group, particularly in the ROIs of the anterior spinal cord compared with the lateral and posterior spinal cords, the FA value decreased with statistical significance (p < 0.05). The DTI indices did not differ by level. DTI revealed the change of diffusion in the spinal cords of patients with high-voltage electrical injury, and corroborated the pathophysiology, myelinopathy and typical anterior spinal cord location of high-voltage electrical SCI already reported in the literature.
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Metadata
Title
Analysis of high-voltage electrical spinal cord injury using diffusion tensor imaging
Authors
Suk Hoon Ohn
Deog Young Kim
Ji Cheol Shin
Seung Min Kim
Woo-Kyoung Yoo
Seung-Koo Lee
Chang-hyun Park
Kwang-Ik Jung
Ki Un Jang
Cheong Hoon Seo
Sung Hye Koh
Bora Jung
Publication date
01-11-2013
Publisher
Springer Berlin Heidelberg
Published in
Journal of Neurology / Issue 11/2013
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-013-7081-1

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