Central cord syndrome (traumatic spine injury)

About Central cord syndrome (traumatic spine injury)

A traumatic spine injury that results in greater weakness in the arms than the legs. It is most common with a forced hyperextension of the neck. The disorder is most commonly seen in the older populations, especially those with pre-existing degenerative disc disease and arthritis of the cervical spine in the neck. But it can occur at any age.

Symptoms

Neck pain, weakness (worse in the arms and hands than legs), difficulty urinating (urinary retention), varying degrees of numbness.

Tests & Diagnostics

A history and physical exam will be performed. A neck CT can estimate the degree of spinal cord damage but a neck MRI provides more detail and is the study of choice.

Common tests: CT Scan, MRI.

Conventional treatment summary

Treatment initially begins with preventing any further damage and some authorities recommend corticosteroids to decrease swelling around the spinal cord. Physical therapy and occupational therapy may hasten the return of normal functioning. For those who do not demonstrate recovery or if persistent spinal cord damage is demonstrated, surgery may be necessary.

Medical specialties

Neurosurgery · Pediatric Neurosurgery

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Central cord syndrome (traumatic spine injury).