Current Concepts: Central Cord Syndrome.

Abstract:

:Central cord syndrome (CCS) represents a clinical phenomenon characterized by disproportionately greater motor impairment of the upper than of the lower extremities, bladder dysfunction. CSS is the most common form of incomplete traumatic spinal cord injury. The initial description of CSS was reported in 1887 secondary to cervical spinal trauma. However, recent literature describes a heterogenous injury patterns including high-energy and low-energy mechanisms and bimodal patient age distributions. Pathophysiology of clinical symptoms and neurological deficits often is affected by preexisting cervical spondylosis. Urgent clinical diagnosis is dependent on neurological examination and imaging studies. Treatment of CSS is dependent on injury mechanism and compressive lesions, neurological examination, preexisting cervical pathology, and patient-specific comorbidities. This article will review the current concepts in diagnosis, pathophysiology, and treatment of CSS with a highlighted case example.

journal_name

Clin Spine Surg

journal_title

Clinical spine surgery

authors

Hashmi SZ,Marra A,Jenis LG,Patel AA

doi

10.1097/BSD.0000000000000731

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

407-412

issue

10

eissn

2380-0186

issn

2380-0194

journal_volume

31

pub_type

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