The Correlation of Clinical Course and Magnetic Resonance Image Findings of Radiation Myelopathy: A Case Report
Resource
Journal of Rehabilitation Medicine Association Republic of China v.31 n .2 pp.99-104
Journal
Journal of Rehabilitation Medicine Association Republic of China
Journal Volume
v.31
Journal Issue
n
Pages
99-104
Date Issued
2003
Date
2003
Author(s)
KANG, JIUNN-HORNG
WANG, YEN-HO
HUANG, KOU-MOU
Abstract
We described a case of radiation myelopathy (RM). The correlations of evolutional changes in magnetic resonance image (MRI) findings in three years with clinical symptoms and treatment responses in different stages of the disease were discussed. We also describe some special rehabilitative consideration for RM patients. Cord enlargement with contrast-enhancement showed in MRI findings corresponding to rapid neurological deterioration. Some neurological improvement after anti- coagulation and steroid therapy was observed in this stage. Cord atrophy without contrast- enhancement was showed in following MRI. The neurological deficits still progressed slowly in this stage and almost did not response to the treatment. We conclude that MRI is a powerful diagnostic tool for RM and may predict the treatment responses.
Subjects
radiation complication
magnetic resonance
image spinal cord