Central cord syndrome

Central cord syndrome

Infobox_Disease
Name = Central Cord Syndrome



Caption = Central cord syndrome is top diagram
Width = 100px
DiseasesDB = 33409
ICD10 =
ICD9 = T1-6 ICD9|952.13
T7-12 ICD9|952.18
C1-4 ICD9|952.03
C5-7 ICD9|952.08<
Lumbar ICD9|952.2
Sacral ICD9|952.3

ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = pmr
eMedicineTopic = 22
MeshID = D020210

Central cord syndrome (CCS) is an acute cervical spinal cord injury (SCI). It was first described by Schneider in 1954. [cite journal |author=Schneider RC, Cherry G, Pantek H |title=The syndrome of acute central cervical spinal cord injury; with special reference to the mechanisms involved in hyperextension injuries of cervical spine |journal=J. Neurosurg. |volume=11 |issue=6 |pages=546–77 |year=1954 |pmid=13222164 |doi=]

CCS has been reported to occur more frequently among older persons with cervical spondylosis, but it also may occur in younger individuals. cite journal |author=Rich V, McCaslin E |title=Central cord syndrome in a high school wrestler: a case report |journal=J Athl Train |volume=41 |issue=3 |pages=341–4 |year=2006 |pmid=17043705 |doi= |url=http://www.pubmedcentral.nih.gov.library.mmc.org/articlerender.fcgi?tool=pubmed&pubmedid=17684887]

CCS is the most common SCI syndrome. It accounts for approximately 9% of traumatic SCIs.cite journal |author=McKinley W, Santos K, Meade M, Brooke K |title=Incidence and outcomes of spinal cord injury clinical syndromes |journal=J Spinal Cord Med |volume=30 |issue=3 |pages=215–24 |year=2007 |pmid=17684887 |doi= |url=] It is generally associated with favorable prognosis for some degree of neurologic and functional recovery. CCS predominantly affects men more than women, similar to all other SCI.

Presentation

It is characterized by disproportionately greater motor impairment in upper compared to lower extremities, bladder dysfunction, and variable degree of sensory loss below the level of injury. This syndrome is unlike a complete lesion, that causes loss of all sensation and movement below the level of the injury.

Causes

CCS most often occurs after hyperextension injury in an individual with long-standing cervical spondylosis. Historically, spinal cord damage was believed to originate from concussion or contusion of the cord with stasis of axoplasmic flow, causing edematous injury rather than destructive hematomyelia. More recently, autopsy studies have demonstrated that CCS may be caused by bleeding into the central part of the cord, portending less favorable prognosis. Studies also have shown that CCS probably is associated with axonal disruption in the lateral columns at the level of the injury to the spinal cord with relative preservation of the grey matter.

See also

* Spinal cord injury
* Anterior cord syndrome

References

*http://health.enotes.com/neurological-disorders-encyclopedia/central-cord-syndrome
*http://www.ninds.nih.gov/disorders/central_cord/central_cord.htm


Wikimedia Foundation. 2010.

Игры ⚽ Нужен реферат?

Look at other dictionaries:

  • central cord syndrome — a syndrome associated with injury to the cervical or upper thoracic portions of the spinal cord that results in damage to the central cord with sparing of the more external fibers that supply the lower extremity. It is characterized by… …   Medical dictionary

  • Anterior cord syndrome — Infobox Disease Name = PAGENAME | Caption = Anterior cord syndrome is central diagram | Width = 100px | ICD10 = ICD9 = ICD9|806.02, ICD9|806.07, ICD9|806.12, ICD9|806.17, ICD9|806.22, ICD9|806.27, ICD9|806.32, ICD9|806.37 ICDO = OMIM =… …   Wikipedia

  • Posterior cord syndrome — Infobox Disease Name = PAGENAME Caption = 5: posterior spinal arteries DiseasesDB = ICD10 = ICD9 = ICD9|952.04, ICD9|952.09 ICDO = OMIM = MedlinePlus = eMedicineSubj = eMedicineTopic = MeshID = Posterior cord syndrome is a condition caused by… …   Wikipedia

  • syndrome — The aggregate of symptoms and signs associated with any morbid process, and constituting together the picture of the disease. SEE ALSO: disease. [G. s., a running together, tumultuous concourse; (in med.) a concurrence of symptoms, fr. syn,… …   Medical dictionary

  • Spinal cord injury — Spinal cord injuries Classification and external resources View of the vertebral column and spinal cord ICD 10 G …   Wikipedia

  • Central pontine myelinolysis — Classification and external resources Pons labeled at bottom left ICD 10 G …   Wikipedia

  • Syndrome, von Hippel-Lindau — The cardinal features of von Hippel Lindau (VHL) syndrome are benign blood vessel tumors that most typically affect the eye and the brain. The eye tumors are termed angiomata and are in the retina. The brain tumors are termed hemangioblastoma and …   Medical dictionary

  • Dejerine-Roussy (Thalamic) Syndrome — Dejerine Roussy syndrome or thalamic pain syndrome is a condition developed after a thalamic stroke, a stroke causing damage to the thalamus. [1], [2]. This condition is not to be confused with Roussy Levy Syndrome , a genetic disorder [3], [4] …   Wikipedia

  • One and a half syndrome — Schematic representation of most common extra ocular movement abnormality in one and a half syndrome. The one and a half syndrome is a rare ophthalmoparetic syndrome characterized by a conjugate horizontal gaze palsy in one direction and an… …   Wikipedia

  • Medial medullary syndrome — Classification and external resources Medulla oblongata, shown by a transverse section passing through the middle of the olive. (Medial medullary syndrome can affect structures in lower left: especially #5, #6, #8.) ICD …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”