Traumatic Central Cord Syndrome A study of case series

  • Dr Sonali Ghosh

Abstract

The most common incomplete cervical spinal injury is central cord syndrome. As defined by Schneider et al in 1954, there is disproportionately greater motor deficit in the upper limbs than in the lower limbs. In this prospective study, 26 in-patients with cervical spine injury with greater motor loss in the upper limbs following the injury were selected. Based on clinical status and radiological findings, 19 were operated upon. Results at 6 weeks and 6 month follow up are discussed. Overall, the results of surgery in these cases were rewarding.

References

1. Schneider RC, Cherry GR, Pantek H. Syndrome of acute central cervical spinal cord injury with special reference to mechanisms involved in hyper-extension injuries of cervical spine. J Neurosurg. 1954; l 1 :546-77.
2. Ishida Y, Tominaga T. Predictors of neurologic recovery in acute central cervical cord injury with only upper extremity impairment. Spine. 2002; 27: 1652–7.
3. Roth EJ, Lawler MH, Yarkony GM. Traumatic central cord syndrome: Clinical features and functional outcomes. Arch Phys Med Rehab. 1990; 71: 18–23.
4. Dai L, Jia L. Central cord injury complicating acute cervical disc herniation in trauma. Spine. 2000; 25:331–6.
5. Yamazaki T, Yanka K, et al. Traumatic central cord syndrome: analysis of factors affecting the outcome. Surg Neurol. 2004: 63; 95-100
6. Quencer RM, Bunge RP, Egnor M, et al. Acute traumatic central cord syndrome: MRI-Pathological correlations. Neuroradiology. 1992:34; 85-94
7. Flanders AE, Schaefer DM, Doan HT, et al. Acute cervical spine trauma: correlation of MR imaging findings with degree of neurologic deficit. Radiology. 1990:177; 25-33
8. Schneider RC, Schemm GW. Vertebral artery insufficiency in acute and chronic spinal trauma. J Neurosurg. 1961:18; 348-60
Published
2019-09-11
How to Cite
Dr Sonali Ghosh. (2019). Traumatic Central Cord Syndrome A study of case series. The Indian Practitioner, 67(7), 415-418. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/778