Spinal Cord Injury
A 68-year-old man with known cervical spondylosis falls forward striking his forehead on the ground. He develops immediate weakness in his arms that is worse than his leg weakness. Examination reveals profound weakness of grip and intrinsic hand function with relatively preserved hip flexion and ankle dorsiflexion. He has patchy sensory loss in a cape-like distribution and urinary retention. MRI shows multilevel cervical stenosis with cord signal change at C4-5. Regarding central cord syndrome:
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Central cord syndrome is the most common incomplete spinal cord injury pattern; it typically occurs ...
The classic presentation is motor weakness that is disproportionately greater in the upper extremiti...
Central cord syndrome affects the legs more than the arms; it only occurs in young trauma patients; ...
Management begins with spinal precautions and supportive care; the role and timing of surgical decom...
Prognosis for neurological recovery is generally better than complete spinal cord injury; recovery t...
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