Central Cord Syndrome

Synonyms
CCS

Central Cord Syndrome is the most common incomplete spinal cord injury and usually occurs acutely as a result of trauma in patients with preexisting cervical spinal canal stenosis.

Epidemiology

Central Cord Syndrome typically occurs in men of middle or advanced age[^2].

Symptoms

The clinical presentation of Central Cord Syndrome is typically characterized by greater impairment of motor function in the upper extremities compared with the lower extremities, particularly hand strength, less pronounced bladder/bowel dysfunction, sexual dysfunction, and variable sensory deficits below the level of the lesion. Up to 22 % of patients develop Allodynia, which generally resolves within 3–4 weeks.

Imaging

MRI of spinal canal stenosis and central cord syndrome
Preoperative MRI on the left (T2 sagittal sequence) showing preexisting spinal canal stenosis after a fall. Postoperative image on the right after two-level ACDF and spinal canal decompression.

Treatment

The treatment of choice is early surgical decompression and, if indicated, instrumented fusion[^1].

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