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FIG 7. Moderate recovery associated with a nonhemorrhagic, low-cervical lesion in a 24-year-old man with a C4 neurologic level injury (ASIA grade B) sustained after a diving accident. T2-weighted midsagittal image (2000/85; ETL, 8) shows a long segment of spinal cord edema with an epicenter at the fractured C5 vertebral body (arrow). The total motor FIM scores were 16 at admission to and 27 at discharge from rehabilitation. The changes in FIM subscores between admission and discharge were as follows: self-care, from 9 to 14; sphincter control, from 2 to 2; mobility, from 3 to 4; and locomotion, from 2 to 7. The lower level of the lesion and the lack of hemorrhage accounts for the clinical improvement.FIG 8. Marked recovery associated with a minor amount of SCI in a 61-year-old man with a C5 neurologic level injury (ASIA grade C) sustained after a motor vehicle accident. Midsagittal, T2-weighted image (2000/102; ETL, 8) shows a spondylitic disk herniation compressing the spinal cord at C6–C7. There is minimal spinal cord edema (arrow) and no evidence of parenchymal hemorrhage. The total motor FIM scores were 23 at admission to and 59 at discharge from rehabilitation. Improvement was noted in all subscores: self-care, from 13 to 35; sphincter control, from 2 to 10; mobility, from 6 to 11; and locomotion, from 2 to 3. The minimal amount of cord injury and the low cervical location account for the large improvement in FIM scores
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