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Journal of the Korean Academy of Rehabilitation Medicine 1989;13(1):2.
A Survey of Nontraumatic Spinal Cord Dysfuntion
Tai Ryoon Han, M.D., Jin Ho Kim, M.D. , Duk Hyun Sung, M.D.
Department of Rehabilitation Medicine, College of Medicine, Seoul National University
비외상성 척수기능부전의 개관
한태륜, 김진호, 성덕현
서울대학교 의과대학 재활의학교실
Abstract

We surveyed the patient's characteristics and the changes of functional and neurologic state in 39 numbers of non-traumatic spinal cord dysfunctioned patients who were received the rehabilitation management during two and half years. (From 1986 March to 1988 June) In above descriptive research, the results are

1) Etiologies: Tumor (11 cases), spinal AVM (6 cases), Transverse myelitis (6 cases), Idiopathic myelopathy (3 cases), Ruptured intervertebral disc (2 cases), Multiple sclerosis (1 case), Epidural abscess (1 case), Anterior spinal artery syndrome (1 case).

2) Age distrinbution: Even distribution over whole range of age. From the age of 8 to sixth decade.

3) Sex distribution: The male to female ratio is 22:17. No significant differences between two sexes.

4) Distribution of the most proximal dysfunctioned level: even distribution from C4 to L3.

5) In functional stae, there is more significant improvement than traumacic cases, and no significant difference to between complete paralysis and incomplete paresis; PULSES score change in non-traumatic caes. (From 14.6±3.6 at admission to 10.3±2.7 at discharge); Modified Barthel Index change in non-traumatic cases (From 65.6±21.1 at admission to 76.5±15.3 at discharge)

6) In neurologic state, there is more significant improvement than traumatic cases.; Cord Motor Index change in non-traumatic cases (From 44.8±26.1 at admission to 78.6±22.6 at discharge)

Key Words: Spinal cord dysfunction, Non traumatic, Course and prognosis


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