Central Cord Syndrome
- PMID: 28722961
- Bookshelf ID: NBK441932
Central Cord Syndrome
Excerpt
There are approximately 300,000 individuals living with spinal cord injury (SCI) in the United States, with approximately 18,000 new cases annually. Central cord syndrome, first described in 1954, is the most common form of incomplete spinal cord injury (SCI) and has an annual incidence of approximately 11,000 cases in the United States. It leads to motor deficits that are more pronounced in the upper extremities compared to the lower extremities, as well as bladder dysfunction (retention) with sacral sparing. Because of its unique clinical presentation, central cord syndrome is also described in the differential diagnosis of "man in a barrel" syndrome. The degree of clinical presentation is quite variable and corresponds to the extent of the injury to the nerve root.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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    - Lo J, Chan L, Flynn S. A Systematic Review of the Incidence, Prevalence, Costs, and Activity and Work Limitations of Amputation, Osteoarthritis, Rheumatoid Arthritis, Back Pain, Multiple Sclerosis, Spinal Cord Injury, Stroke, and Traumatic Brain Injury in the United States: A 2019 Update. Arch Phys Med Rehabil. 2021 Jan;102(1):115-131. - PMC - PubMed
 
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    - Brooks NP. Central Cord Syndrome. Neurosurg Clin N Am. 2017 Jan;28(1):41-47. - PubMed
 
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    - Khorasanizadeh M, Yousefifard M, Eskian M, Lu Y, Chalangari M, Harrop JS, Jazayeri SB, Seyedpour S, Khodaei B, Hosseini M, Rahimi-Movaghar V. Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis. J Neurosurg Spine. 2019 May 01;30(5):683-699. - PubMed
 
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    - Emos MC, Agarwal S. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Aug 14, Neuroanatomy, Upper Motor Neuron Lesion.
 
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