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New grading system for the clinical evaluation of patients with spinal vascular lesions
- Source :
- Neuroradiology. 60:1035-1041
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Neurointerventional approaches have improved myelopathy in patients with spinal vascular lesions by providing effective management, particularly when surgical approaches are difficult. However, there have been challenges in describing and comparing recovery status during the post-treatment period. We evaluated 43 patients with venous congestive myelopathy (VCM) using Aminoff–Logue Disability Scale for gait (AL-G) and micturition (AL-M) scores. These results were compared with our new PSMS grading system that evaluates four categories (grades 0–3): pain, sensory symptoms, motor deficit, and sphincter change. Simple linear regression was used to identify the association or trend among the scales. We also calculated an overall area under the receiver operating characteristic curve to compare the predictive ability of the PSMS system with that of the previous grading system (AL-G and AL-M). Compared with other grading system, the PSMS system was more sensitively correlated with patient status and the results were easy to compare with previous clinical statuses during follow-up. The PSMS system also measured pain, which is commonly associated with spinal dural arteriovenous fistula and not precisely evaluated by other grading system. The new PSMS grading system for patients with VCM correlated well with the previously used systems and included pain evaluation. This new grading system is an easy tool for the evaluation and comparison of outcomes before and after endovascular treatment.
- Subjects :
- Adult
Male
medicine.medical_specialty
Neurology
Adolescent
Spinal Cord Vascular Diseases
media_common.quotation_subject
Arteriovenous fistula
Severity of Illness Index
Urination
Spinal Cord Diseases
030218 nuclear medicine & medical imaging
Disability Evaluation
03 medical and health sciences
Myelopathy
0302 clinical medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
Aged
Pain Measurement
media_common
Neuroradiology
Aged, 80 and over
Central Nervous System Vascular Malformations
Receiver operating characteristic
business.industry
Angiography, Digital Subtraction
Middle Aged
medicine.disease
Embolization, Therapeutic
Magnetic Resonance Imaging
Gait
Disease Progression
Female
Neurology (clinical)
Neurosurgery
Radiology
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 14321920 and 00283940
- Volume :
- 60
- Database :
- OpenAIRE
- Journal :
- Neuroradiology
- Accession number :
- edsair.doi.dedup.....de747e24e9e6c7db94f4d020527702e8