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FIG 4. Poor recovery from a high-cervical hemorrhagic lesion in a 62-year-old woman with a C4 neurologic level injury (ASIA grade A) sustained after a fall. A T2-weighted midsagittal image (2000/102; ETL, 8) shows a focus of intramedullary hemorrhage (arrow) surrounded by edema centered at the C3–C4 level. The total FIM score obtained at admission was 13 (subscores: self-care = 6, sphincter control = 2, mobility = 3, locomotion = 2). There was no improvement at discharge from rehabilitation. The presence of frank hemorrhage within the lesion and the high cervical location are indicative of a poor recovery
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