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July 1993

The Outcome Following Traumatic Spinal Cord Injury

Arch Neurol. 1993;50(7):686. doi:10.1001/archneur.1993.00540070006002

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As delineated by Piepmeier in his introduction to this volume, results of the second National Acute Spinal Cord Injury Study (NASCIS II) have irrevocably altered conceptions about clinical spinal cord injury and its- management. That study reinforced the concept of delayed or secondary spinal cord injury now well established in the experimental literature and demonstrated that early treatment (with high-dose corticosteroids) can significantly improve long-term neurologic outcome.

The stated purpose of this book is to "provide an assessment of the successes and failures of current methods." With some exceptions (vide infra), this book does provide a reasonably updated review of many issues related to clinical spinal cord injury. As expected in an edited volume of this type, there is a certain amount of duplication (eg, chapters 5 and 6) and occasional contradictions. Unfortunately, some areas are not covered, such as epidemiology or neurophysiologic assessment. Other issues are inadequately discussed, such

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