Effect of Milk-Feeding Frequency and Calcium Gluconate Supplementation on Growth, Health, and Reproductive and Metabolic Features of Holstein Heifers at a Rearing Farm.

We compared the effects of milk-feeding in 288 Holstein calves (72 per group) which were fed twice (2F) or thrice (3F) daily, with or without the addition of hydrogenated fat-embedded calcium gluconate (G) supplemented in the starter food and in the daily diet up to the age of 9 months, on the calves' metabolism, growth, health, and reproductive efficiency up to first pregnancy. The calves received 6 L of milk replacer (130 g/L) and had ad libitum access to water and textured calf starter with or without gluconate. Gluconate supplementation promoted a "catch-up" in growth in supplemented calves compared to their counterparts that did not receive gluconate. Gluconate appeared to reduce animal metabolic stress during key events, such as weaning and transfer into open-door pens, reducing fructosamine (352.61 vs. 303.06 in 3FG and 3F, respectively; p = 0.028) and urea (3F revealed the highest values compared with the other three groups: 19.06 for 3F vs. 13.9 (2F), 13.7 (2FG), and 14.3 (3FG), respectively, p = 0.002) from weaning onwards. The feeding of dairy calves with milk replacer three rather than two times per day tended to be associated with better health from weaning to 4 months old; parameters such as ultrasound lung score and calf health score improved over time (p < 0.001). Thrice-daily feeding with milk replacer tended to reduce the number of artificial inseminations per pregnancy in heifers by 0.2 points (p = 0.092). We confirmed significant correlations between early health and growth parameters and reproductive efficiency and a positive correlation between body weight and average daily weight gain and the thickness of the back fat layer in young heifers (r = 0.245; p < 0.0001; r = 0.214; p < 0.0001 respectively). Our study was conducted on a commercial farm with reasonably effective animal management, so baseline welfare was likely satisfactory.

Predicting Risk of Ammonia Exposure in Broiler Housing: Correlation with Incidence of Health Issues.

The study aimed to forecast ammonia exposure risk in broiler chicken production, correlating it with health injuries using machine learning. Two chicken breeds, fast-growing (Ross®) and slow-growing (Hubbard®), were compared at different densities. Slow-growing birds had a constant density of 32 kg m-2, while fast-growing birds had low (16 kg m-2) and high (32 kg m-2) densities. Initial feeding was uniform, but nutritional demands led to varied diets later. Environmental data underwent selection, pre-processing, transformation, mining, analysis, and interpretation. Classification algorithms (decision tree, SMO, Naive Bayes, and Multilayer Perceptron) were employed for predicting ammonia risk (10-14 pmm, Moderate risk). Cross-validation was used for model parameterization. The Spearman correlation coefficient assessed the link between predicted ammonia risk and health injuries, such as pododermatitis, vision/affected, and mucosal injuries. These injuries encompassed trachea, bronchi, lungs, eyes, paws, and other issues. The Multilayer Perceptron model emerged as the best predictor, exceeding 98% accuracy in forecasting injuries caused by ammonia. The correlation coefficient demonstrated a strong association between elevated ammonia risks and chicken injuries. Birds exposed to higher ammonia concentrations exhibited a more robust correlation. In conclusion, the study effectively used machine learning to predict ammonia exposure risk and correlated it with health injuries in broiler chickens. The Multilayer Perceptron model demonstrated superior accuracy in forecasting injuries related to ammonia (10-14 pmm, Moderate risk). The findings underscored the significant association between increased ammonia exposure risks and the incidence of health injuries in broiler chicken production, shedding light on the importance of managing ammonia levels for bird welfare.

Assessing the environmental impacts of beef production chains integrating grazing and landless systems.

Livestock production systems contribute significantly to environmental impacts at the global level, and meat consumption is projected to increase with the population. There is a need to reduce the impact of food production, including that from beef systems. Different production systems, ranging from traditional grazing to landless systems, coexist within the beef sector. Among these, mixed systems have emerged as a promising alternative. These mixed systems typically involve adult cattle in grazing systems alongside fattening calves in landless systems, potentially achieving higher productivity while reducing the overall environmental impacts. The first step towards proposing mitigation strategies involves identifying the impacts of the sector. This study aimed to estimate the main environmental impacts of four types of mixed beef systems based on the origin of the calves that are raised, fattened, and slaughtered. Using life cycle assessment, the study evaluated the environmental impacts from the cradle to the slaughterhouse gate, expressed per kilogram of carcass weight. The four systems assessed include suckler cow farms that fatten their own offspring (beef single farm, BSF), a system in which calves raised on a suckler farm are fattened on a different farm (beef fattening unit, BFU), and systems in which dairy calves are fattened on growing units, with calves either from Spain (dairy national, DN) or from farms located abroad (dairy abroad, DA). Primary data were obtained from representative surveys of farmers and slaughterhouses, and allocation between co-products was performed according to the updated guidelines of Environmental Product Declarations and the Product Category Rules for meat. Seven environmental impact categories were assessed: climate change, marine eutrophication, freshwater eutrophication, stratospheric ozone depletion, terrestrial acidification, photochemical ozone formation on ecosystems, and photochemical ozone formation on human health. The results indicate that meat production from BSF and BFU has greater environmental impacts than that from DN and DA systems, primarily due to the lower environmental burden allocated to dairy calves, whereas the contribution of slaughterhouse activities to the environmental impacts was minimal. This study highlights the importance of mitigating the environmental impacts associated with feed production, enteric fermentation, and manure management in beef systems. Future studies should consider potential environmental benefits of grazing animals such as carbon sequestration and biodiversity promotion.

Welfare implications on management strategies for rearing dairy calves: A systematic review. Part 2 - Social management.

Introduction: Raising a healthy calf up to puberty is essential for optimal farm performance. It is therefore, it is necessary to promote animal welfare from the three spheres during this short period. Social management has been postulated as essential in lowering stress and consequently improving calf welfare during this period. Only the health sphere has been studied for a long time, but more recent studies have recently promoted positive experiences and emotional states from affective states or cognitive judgment and natural living spheres. A systematic review of different management strategies in rearing dairy calves according to the three spheres of animal welfare has been conducted using an electronic search strategy. Methods: The analysis and extraction of information from the studies were performed according to a protocol. From 1,783 publications screened, only 351 met the inclusion criteria. Results: The publications identified in the search can be divided into two main groups, feeding and social management, based on the main topic of the publication. This review provides an overview of social management, understood as the calf's interaction with others around it. Discussion: Primary social management issues that emerged were social housing with congeners, separation from the mother and human-animal interaction, distributed in the three broad spheres of animal welfare. The review highlights unresolved questions about how social management practices affect the three spheres of animal welfare at this life stage and the need to standardize good socialization practices for this stage. In conclusion, all the information shows that social housing has improved animal welfare from affective states, cognitive judgment, and natural living spheres. However, gaps in research were identified in relation to the optimal time to separate the calf from the mother, the optimal time to group with conspecifics after birth and group size. Further research on positive welfare through socialization are needed.

Welfare implications on management strategies for rearing dairy calves: A systematic review. Part 1-feeding management.

Introduction: Calves are very susceptible to stress in the early stages of life, and it is necessary to ensure maximum welfare. Feeding management has been identified as a major risk factor for calf health and welfare at this stage. However, the management protocol for calf rearing and its impact on animal welfare is unclear. A systematic review of different management strategies for rearing dairy calves according to the three spheres of animal welfare was conducted using an electronic search strategy. In this review, management strategies were studied to identify scientific gaps, to know the welfare problems of these animals in order to prioritize actions and future research and to study the interpretive approach of this management from the three welfare spheres. Methods: A protocol was used to analyze and extract information from the studies. Of the 1,783 publications screened, only 351 met the inclusion criteria for the management or welfare of calves' items. Results: The publications identified in the search can be divided into two main groups feeding and socialization, based on the main topic of the publication. The main topics that emerged from the search in the feeding management group were milk replacer, colostrum, and weaning, divided into the three main areas of biological functioning and health, natural life and affective states or cognitive judgement. Discussion: The main issues to be addressed were the different types of feed consumed by animals from birth to weaning and the weaning management. It has been found that the most researched issues are colostrum and solid starter feed management. Unresolved issues were highlighted, such as the lack of a clear protocol for the administration of milk replacers to reduce hunger and the best management of weaning to reduce stress.

Assessment of Husbandry Practices That Can Reduce the Negative Effects of Exposure to Low Ammonia Concentrations in Broiler Houses.

Ammonia is an important pollutant emitted by broiler litter that can accumulate inside farms, impairing animal health and welfare productivity. An experiment was designed to evaluate of precision husbandry practices such as the effect of ventilation, animal density and growth rate as management options to reduce the adverse effects of ammonia exposure on productive parameters in broiler houses. Two identical experimental rooms were used in this study. They were programmed to differ in ammonia concentration from day 32 of the growing period (10 and 20 ppm in Room 1 and Room 2, respectively). Three treatments were tested in each room: slow growth in high stocking density (SHD), fast growth in low density (FLD) and fast growth in high density (FHD). Animal weight, feed intake and feed conversion ratio were determined weekly. In addition, the immune status of animals was assessed by weighing the organs related to immune response as stress indicators. Increasing ventilation was effective to control ammonia concentrations. Exposure to ammonia caused no significant effect on productive parameters. However, lowering stocking density improved response to higher ammonia concentrations by lowering the feed conversion ratio. No other relevant effects of differential exposure to ammonia were found in fast-growing animals, either at high or low stocking density. The use of slow-growing breeds had no effect on production parameters. Despite having a slower growth rate, their feed conversion ratio was not different from that of fast-growing breeds. The productive performance of slow-growing animals was not affected by the differential exposure to ammonia, but the reduced spleen size would suggest an impairment of the immune system.

A novel TRMT5 mutation causes a complex inherited neuropathy syndrome: The role of nerve pathology in defining a demyelinating neuropathy.

AIMS: We aim to present data obtained from three patients belonging to three unrelated families with an infantile onset demyelinating neuropathy associated to somatic and neurodevelopmental delay and to describe the underlying genetic changes. METHODS: We performed whole-exome sequencing on genomic DNA from the patients and their parents and reviewed the clinical, muscle and nerve data, the serial neurophysiological studies, brain and muscle MRIs, as well as the respiratory chain complex activity in the muscle of the three index patients. Computer modelling was used to characterise the new missense variant detected. RESULTS: All three patients had a short stature, delayed motor milestone acquisition, intellectual disability and cerebellar abnormalities associated with a severe demyelinating neuropathy, with distinct morphological features. Despite the proliferation of giant mitochondria, the mitochondrial respiratory chain complex activity in skeletal muscle was normal, except in one patient in whom there was a mild decrease in complex I enzyme activity. All three patients carried the same two compound heterozygous variants of the TRMT5 (tRNA Methyltransferase 5) gene, one known pathogenic frameshift mutation [c.312_315del (p.Ile105Serfs*4)] and a second rare missense change [c.665 T > C (p.Ile222Thr)]. TRMT5 is a nuclear-encoded protein involved in the post-transcriptional maturation of mitochondrial tRNA. Computer modelling of the human TRMT5 protein structure suggests that the rare p.Ile222Thr mutation could affect the stability of tRNA binding. CONCLUSIONS: Our study expands the phenotype of mitochondrial disorders caused by TRTM5 mutations and defines a new form of recessive demyelinating peripheral neuropathy.

Dairy Cows Activity under Heat Stress: A Case Study in Spain.

Heat stress plays a role in livestock production in warm climates. Heat stress conditions impair animal welfare and compromise the productive and reproductive performance of dairy cattle. Under heat stress conditions, dairy cattle modify their behavior. Thus, the assessment of behavior alterations can be an indicator of environmental or physiological anomalies. Moreover, precision livestock farming allows for the individual and constant monitoring of animal behavior, arising as a tool to assess animal welfare. The purpose of this study was to evaluate the effect of heat stress on the behavior of dairy cows using activity sensors. The study was carried out in Tinajeros (Albacete, Spain) during the summer of 2020. Activity sensors were installed in 40 cows registering 6 different behaviors. Environmental conditions (temperature and humidity) were also monitored. Hourly data was calculated for both animal behavior and environmental conditions. Temperature and Heat Index (THI) was calculated for each hour. The accumulated THI during the previous 24 h period was determined for each hour, and the hours were statistically classified in quartiles according to the accumulated THI. Two groups were defined as Q4 for no stress and Q1 for heat stress. The results showed that animal behavior was altered under heat stress conditions. Increasing THI produces an increase in general activity, changes in feeding patterns and a decrease in rumination and resting behaviors, which is detrimental to animal welfare. Daily behavioral patterns were also affected. Under heat stress conditions, a reduction in resting behavior during the warmest hours and in rumination during the night was observed. In conclusion, heat stress affected all behaviors recorded as well as the daily patterns of the cows. Precision livestock farming sensors and the modelling of daily patterns were useful tools for monitoring animal behavior and detecting changes due to heat stress.

A study of the phenotypic variability and disease progression in Laing myopathy through the evaluation of muscle imaging.

BACKGROUND: Laing myopathy is characterized by broad clinical and pathological variability. They are limited in number and protocol of study. We aimed to delineate muscle imaging profiles and validate imaging analysis as an outcome measure. METHODS: This was a cross-sectional and longitudinal cohort study. Data from clinical, functional and semi-quantitative muscle imaging (60 magnetic resonance imaging [MRI] and six computed tomography scans) were studied. Hierarchical analysis, graphic heatmap representation and correlation between imaging and clinical data using Bayesian statistics were carried out. RESULTS: The study cohort comprised 42 patients from 13 families harbouring five MYH7 mutations. The cohort had a wide range of ages, age at onset, disease duration, and myopathy extension and Gardner-Medwin and Walton (GMW) functional scores. Intramuscular fat was evident in all but two asymptomatic/pauci-symptomatic patients. Anterior leg compartment muscles were the only affected muscles in 12% of the patients. Widespread extension to the thigh, hip, paravertebral and calf muscles and, less frequently, the scapulohumeral muscles was commonly observed, depicting distinct patterns and rates of progression. Foot muscles were involved in 40% of patients, evolving in parallel to other regions with absence of a disto-proximal gradient. Whole cumulative imaging score, ranging from 0 to 2.9 out of 4, was associated with disease duration and with myopathy extension and GMW scales. Follow-up MRI studies in 24 patients showed significant score progression at a variable rate. CONCLUSIONS: We confirmed that the anterior leg compartment is systematically affected in Laing myopathy and may represent the only manifestation of this disorder. However, widespread muscle involvement in preferential but variable and not distance-dependent patterns was frequently observed. Imaging score analysis is useful to categorize patients and to follow disease progression over time.

Future global pig production systems according to the Shared Socioeconomic Pathways.

Global pork production has increased fourfold over the last 50 years and is expected to continue growing during the next three decades. This may have considerable implications for feed use, land requirements, and nitrogen emissions. To analyze the development of the pig production sector at the scale of world regions, we developed the IMAGE-Pig model to describe changes in feed demand, feed conversion ratios (FCRs), nitrogen use efficiency (NUE) and nitrogen excretion for backyard, intermediate and intensive systems during the past few decades as a basis to explore future scenarios. For each region and production system, total production, productive characteristics and dietary compositions were defined for the 1970-2005 period. The results show that due to the growing pork production total feed demand has increased by a factor of two (from 229 to 471Tg DM). This is despite the improvement of FCRs during the 1970-2005 period, which has reduced the feed use per kg of product. The increase of nitrogen use efficiency was slower than the improvement of FCRs due to increasing protein content in the feed rations. As a result, total N excretion increased by more than a factor of two in the 1970-2005 period (from 4.6 to 11.1 Tg N/year). For the period up to 2050, the Shared Socio-economic Pathways (SSPs) provide information on levels of human consumption, technical development and environmental awareness. The sustainability of pig production systems for the coming decades will be based not only on the expected efficiency improvements at the level of animal breeds, but also on four additional pillars: (i) use of alternative feed sources not competing with human food, (ii) reduction of the crude protein content in rations, (iii) the proper use of slurries as fertilizers through coupling of crop and livestock production and (iv) moderation of the human pork consumption.

Malformation of the eighth cranial nerve in children. / Malformaciones del octavo par en niños.

INTRODUCTION AND OBJECTIVES: Prevalence of congenital sensorineural hearing loss (SNHL) is approximately 1.5-6 in every 1,000 newborns. Dysfunction of the auditory nerve (auditory neuropathy) may be involved in up to 1%-10% of cases; hearing losses because of vestibulocochlear nerve (VCN) aplasia are less frequent. The objectives of this study were to describe clinical manifestations, hearing thresholds and aetiology of children with SNHL and VCN aplasia. METHODOLOGY: We present 34 children (mean age 20 months) with auditory nerve malformation and profound HL taken from a sample of 385 children implanted in a 10-year period. We studied demographic characteristics, hearing, genetics, risk factors and associated malformations (Casselman's and Sennaroglu's classifications). Data were processed using a bivariate descriptive statistical analysis (P<.05). RESULTS: Of all the cases, 58.8% were bilateral (IIa/IIa and I/I were the most common). Of the unilateral cases, IIb was the most frequent. Auditory screening showed a sensitivity of 77.4%. A relationship among bilateral cases and systemic pathology was observed. We found a statistically significant difference when comparing hearing loss impairment and patients with different types of aplasia as defined by Casselman's classification. Computed tomography (CT) scan yielded a sensitivity of 46.3% and a specificity of 85.7%. However, magnetic resonance imaging (MRI) was the most sensitive imaging test. CONCLUSIONS: Ten percent of the children in a cochlear implant study had aplasia or hypoplasia of the auditory nerve. The degree of auditory loss was directly related to the different types of aplasia (Casselman's classification) Although CT scan and MRI are complementary, the MRI is the test of choice for detecting auditory nerve malformation.

Imaging diagnostics: congenital malformations and acquired lesions of the inner ear.

INTRODUCTION: Congenital malformations and acquired lesions of the inner ear are characterised by small structural changes in this region. In recent decades, treatment options have improved considerably. At the same time, there has been a great advancement in diagnostic methods, obtaining high-resolution labyrinth images. Currently, we use a 64-multislice computed tomography scanner in spiral mode (Brilliance 64 Phillips, Eindhoven, the Netherlands), with an overlap of 0.66 mm and an interval of 0.33 mm, 120 KV and 300 mA. The magnetic resonance images were taken with Signa HDxt 1.5 and 3.0 T units (GE Healthcare, Waukesha, WI, USA). We reviewed the radiological features of the lesions affecting the inner ear. They are classified as congenital (labyrinth malformation and statoacoustic nerve deficiencies) or acquired (otospongiosis, labyrinthitis, Ménière's disease, inner ear haemorrhage, intralabyrinthine schwannoma and endolymphatic sac tumour). CONCLUSION: Magnetic resonance imaging and computed tomography play an essential role in diagnosing patients with inner ear pathology. The technique selected should be chosen depending on the clinical setting. In a generic way, tomography is the method of choice for the study of traumatic pathology or otospongiosis. When tumour or inflammatory pathology is suspected, magnetic resonance is superior. In cases of congenital malformation, both techniques are complementary.

Suitability evaluation of multipoint simultaneous CO2 sampling wireless sensors for livestock buildings.

The environment in livestock buildings must be controlled to ensure the health and welfare of both workers and animals, as well as to restrict the emission of pollutants to the atmosphere. Among the pollutants generated inside these premises, carbon dioxide (CO2) is of great interest in terms of animal welfare and ventilation control. The use of inexpensive sensors means that complete systems can be designed with a number of sensors located around the building. This paper describes a study of the suitability of multipoint simultaneous CO2 sensors operating in a wireless sensor network, which was found to operate satisfactorily under laboratory conditions and was found to be the best alternative for these applications. The sensors showed a highly linear response to CO2 concentrations, ranging from 500 to 5000 ppm. However, individual sensor response was found to differ, which made it necessary to calibrate each one separately. Sensor precision ranged between 80 and 110 ppm CO2, and sensor response to register a 95% change in concentration was estimated at around 5 min. These features mean this type of sensor network can be used to monitor animal welfare and also for environmental control in poorly ventilated livestock premises. According to the tests conducted in this study, a temporal drift may occur and therefore a regular calibration of sensors would be needed.

The role of diffusion-weighted magnetic resonance imaging in cholesteatoma diagnosis and follow-up. Study with the diffusion PROPELLER technique.

INTRODUCTION AND OBJECTIVES: The diagnosis of cholesteatoma is based on clinical evaluation and computed tomography. New non-echo-planar diffusion-weighted magnetic resonance imaging (MRI) techniques, without intravenous contrast, are capable of differentiating cholesteatoma from inflammatory tissue, cholesterol granuloma and granulation tissues. The technique is very helpful in differential diagnosis of cholesteatoma, mainly after canal wall-up tympanoplasty surgery, to avoid routine second-look surgery in these patients. Congenital cholesteatoma and difficult cases can be detected and correctly diagnosed as well. The aim of this study was to evaluate sensitivity, specificity, positive predictive value and negative predictive value of the diffusion-weighted PROPELLER MRI in cholesteatoma diagnosis. METHODS: A prospective study was performed on 52 patients. Clinical and surgical findings were correlated with diffusion-weighted PROPELLER MRI results. RESULTS: Sensitivity, specificity and positive and negative predictive values were 92.85%, 92.30, 92.85 and 92.30%, respectively. CONCLUSIONS: Diffusion-weighted PROPELLER imaging is an effective technique in cholesteatoma diagnosis. It is capable of detecting lesions larger than 2mm.

Contemporary non-echo-planar diffusion-weighted imaging of middle ear cholesteatomas.

Middle ear cholesteatoma is a common inflammatory disease that requires surgery due to potentially serious intracranial complications. Diagnosis of cholesteatoma is mainly clinical, with computed tomography (CT) used to evaluate disease extension before surgery. Certain patterns of bone erosion are specific, but CT attenuation does not allow differentiation from other inflammatory middle ear diseases. With its high tissue discrimination and contrast resolution, magnetic resonance imaging is valuable in diagnosis of cholesteatomas. Absent enhancement at delayed postcontrast imaging has been used for diagnosis. Diffusion-weighted imaging (DWI) is highly specific due to the high keratin content of cholesteatomas. New non-echo-planar DWI sequences, such as periodically rotated overlapping parallel lines with enhanced reconstruction, are superior to conventional echo-planar DWI, since they minimize susceptibility artifacts at the skull base and increase sensitivity for detection of lesions as small as 2 mm. This technique is indicated when clinical diagnosis is difficult and high tissue specificity is necessary, as in congenital, temporal bone, or atypical acquired middle ear cholesteatomas and residual or recurrent disease after surgery. Non-echo-planar DWI has been proposed for screening of postsurgical (residual or recurrent) cholesteatomas, thus obviating many second-look revision surgeries, especially after more conservative canal wall up surgery.

[Transpterygoid expanded endonasal approach in fibrous dysplasia of the skull base: case report and technical note]. / Abordaje endonasal expandido transpterigoideo en la displasia fibrosa de base de cráneo: caso clínico y nota técnica.

INTRODUCTION: Expanded endonasal approaches (EEA) are becoming a first-level technique for the treatment of skull base pathologies. In some cases, the endoscopic procedures make it possible to dissect structures manipulated with greater difficulty in the classic approaches. We report a full endoscopic transpterygoid EEA for the treatment of a fibrous dysplasia (FD) of the skull base. In addition, we reviewed the English literature available on FD and transpterygoid EEA, establishing an exact surgical technique and showing our intraoperative experience. CASE REPORT: A 42-year-old male with right sixth cranial nerve palsy. Cranial MRI and CT showed a central skull base lesion with diagnostic suspicion of FD. Patient underwent a full endoscopic transpterygoid EEA, achieving a wide skull base neurovascular decompression. Neuronavigation and the vidian canal landmark resulted mandatory during intraoperative procedure. DISCUSSION: The transpterygoid EEA is a safe technique consistently supported in the literature. It may reduce the morbidity associated to the classic transcranial approaches, since it permits maximum resection with minimum craniofacial distortion. The vidian hole and canal are the landmarks used to locate and avoid injury to the lacerum segment of the carotid injury. The surgical treatment indication in FD cases must be established in symptomatic patients. CONCLUSION: Transpterygoid EEA for treatment of FD of the skull base is a safe and effective procedure, thanks to the guide that the vidian canal provides in finding the lacerum segment of the carotid artery.

Recurrent meningitis associated with Duane syndrome type I.

We present the case of a 17-month-old male patient with a bilateral Duane syndrome type 1 associated to unilateral cochleovestibular dysplasia, perilymphatic fistula and recurrent meningitis. Diagnosis was carried out by MRI and CT scan. His management and treatment are described, as well as the postoperative evolution. We believe this is an exceptional case due to the low frequency of this syndrome, as well as to the otoneurological complications.

MRI findings in spinal subdural and epidural hematomas.

BACKGROUND: Spinal hematomas are rare entities that can be the cause of an acute spinal cord compression syndrome. Therefore, an early diagnosis is of great importance. PATIENTS AND METHODS: From 2001 to 2005 seven patients with intense back pain and/or acute progressive neurological deficit were studied via 1.5 T MRI (in axial and sagittal T1- and T2-weighted sequences). Follow-up MRI was obtained in six patients. RESULTS: Four patients showed the MRI features of a hyperacute spinal hematoma (two spinal subdural hematoma [SSH] and two spinal epidural hematoma [SEH]), isointense to the spinal cord on T1- and hyperintense on T2-weighted sequences. One patient had an early subacute SEH manifest as heterogeneous signal intensity with areas of high signal intensity on T1- and T2-weighted images. Another patient had a late subacute SSH with high signal intensity on T1- and T2-weighted sequences. The final patient had a SEH in the late chronic phase being hypointense on T1- and T2-weighted sequences. DISCUSSION: MRI is valuable in diagnosing the presence, location and extent of spinal hematomas. Hyperacute spinal hematoma and the differentiation between SSH and SEH are particular diagnostic challenges. In addition, MRI is an important tool in the follow-up in patients with conservative treatment.