Transitory traumatic paraplegia: electron microscopy of early alterations in myelinated nerve fibers

Abstract

✓ The white matter of the monkey spinal cord was examined by electron microscopy during the first 4 hours following a contusion sufficient to produce a transitory paraplegia. At 5 min after injury the myelinated nerve fibers resembled those of the control animals. By 15 and 30 min after contusion, selected fibers were noted to have moderately enlarged periaxonal spaces. Attenuated myelin sheaths, splaying of the myelin lamellae, and a marked increase in the periaxonal spaces were present in affected nerve fibers at 1 hr following trauma. By 4 hrs after contusion approximately one-fourth of the fibers showed breakage of the myelin sheaths and consequent denuding of axons or marked attenuation of the myelin sheaths, greatly enlarged periaxonal spaces, and degeneration of the associated axons.