MRI AND MOTOR EVOKED POTENTIALS AS A PREDICTOR OF EARLY RECOVERY AFTER ACUTE BRAIN PARENCHYMAL INJURY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 44
Abstract
BACKGROUND MRI and motor evoked potentials have been widely used in assessment of patient’s diagnosis, but their assessment in predicting outcome of acute brain parenchymal injury has been limited. The aim of this study was to measure Motor Evoked Potentials (MEP) intraoperatively and to predict the outcome and early recovery after trauma involving acute brain parenchymal injury. MATERIALS AND METHODS A retrospective descriptive study done between 2015 and 2017, at a tertiary trauma care centre, database of 32 patients who have been monitored intraoperatively with motor evoked potentials has been collected. Among them 23 patients came under a, b, c of Association Impairment Scale (AIS). Preoperative and postoperative AIS data, MRI reports, surgical data and use of steroids have been obtained for study. Axial T2 MRI have also been obtained. RESULTS AIS at discharge was significantly predicted by MEP (p < .001). AIS improved by an average of 1.5 grade (median= 1) in patients with AIS a, b, c with electable MEPs, while the improvement in those without elicitable MEPs was 0.5 grades (median= 0, p < .05). MEP status was well correlating with MRI grade. CONCLUSION MEPs predicted neurological improvement in patients with AIS grades a, b and c in patients with acute brain parenchymal injury. MEP prediction was well correlating with MRI grading.
Authors and Affiliations
Kotakadira Srinivas, Aluka Anand Chand
Keywords
Related Articles
- EP ID EP549210
- DOI 10.14260/jemds/2018/1052
- Views 60
- Downloads 0
TERLIPRESSIN THERAPY RESPONSE ASSESSED BY COLOUR DOPPLER IMAGING IN PATIENTS OF HEPATORENAL SYNDROME
BACKGROUND The resistive index of renal arteries is the most widely used parameter to estimate the arteriolar vascular resistance in HRS. We aimed to evaluate the effects of terlipressin on renal haemodynamics using resi...
HER2/NEU PROTEIN EXPRESSION IN COLORECTAL CANCER
BACKGROUND Conflicting data exists about the prevalence of HER2/neu over expression in colorectal cancer ranging from 7% to 83%. 1 Here we are trying to clarify the extent of expression of HER2/neu in Colorectal cancer i...
SEASONAL VARIATION OF INTESTINAL PARASITOSIS IN KISHANGANJ DISTRICT, BIHAR
BACKGROUND Seasonal variations in temperature, rainfall and resource availability are ubiquitous and can exert strong pressures on population dynamics. Several past studies, including a study on humans from the United St...
CORRELATES OF PERSONAL VARIABLES OF TEACHERS AND THEIR KNOWLEDGE AND ATTITUDE TOWARDS LEARNING DISABLED CHILDREN
BACKGROUND Teaching the learning disabled entails more responsibility because decisions during early schooldays would influence the child’s acquisition of life skills necessary for survival as an adult. Several child-ori...
CARDIAC FIBROMA, A RARE PRIMARY TUMOUR- A CASE REPORT
PRESENTATION OF CASE A 5-year-old female child presented with easy fatiguability, fever and chest pain of 2 months’ duration, prior to which she was asymptomatic. This rare way of presentation of the child made us docume...