Central cord syndrome in the field: Case report

• Main Authors: Vukoje Vesna, Milivojević Snežana
• Format: Article
• Language: English
• Published: Serbian Medical Society, Department of Emergency Medicine, Belgrade 2016-01-01
• Series: ABC: časopis urgentne medicine
• Subjects: central cord syndrome
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2016/1451-10531601066V.pdf

INTRODUCTION: Central syndrome medulla (Central cord syndrome, Sy Schneider, CCS) is a violation of the central part of gray matter and white matter medial part of the cervical spinal cord. Described by Schneider in 1954 godine. It is actually Incomplete spinal cord injury that is clinically manifested more weakness than the upper lower extremities, with partially preserved sensitivity below the level of the lesion, including the sacral segments (S4 and S5). AIM: is to remind the rarer conditions in practice and to indicate that ordinary downs with their own height with which we meet every day in practice can cause severe injury and damage and significantly extend the rehabilitation of patients. MATERIALS AND METHODS: We will use a case report of a woman who is healthy after getting off the bus tripped and fell face of the curb. CASE REPORT: Upon arrival, the team had a weakness in both arms and hands, faultlessly sensibility. She also had less superficial violation of the upper lip. Given that this was a fall from his own height, and has developed arm weakness with preserved motor skills and sensibilities leg and that patients had clinical signs of injury locomotor system, cast doubt on the central cord syndrome. The patient was immobilized Šanc collar, put on a spinal board, fixed spider straps and transported to hospital. During the day during diagnostics, hospital, develops and leg weakness. She was admitted to the Neurosurgery Department. More than once, she made X-ray, CT and MRI's door, but did not found any sign of injury locomotor system. On several occasions thereafter treated at the Institute for Rehabilitation, where her all motor function recovered significantly. CONCLUSION: We will use a case report of a woman who is healthy after getting off the bus tripped and fell face of the curb. Upon arrival, the team had a weakness in both arms and hands, faultlessly sensibility. She also had less superficial violation of the upper lip. Given that this was a fall from his own height, and has developed arm weakness with preserved motor skills and sensibilities leg and that patients had clinical signs of injury locomotor system, cast doubt on the central cord syndrome. The patient was immobilized Šanc collar, put on a spinal board, fixed spider straps and transported to hospital. During the day during diagnostics, hospital, develops and leg weakness. She was admitted to the Neurosurgery Department. More than once, she made X-ray, CT and MRI's door, but did not found any sign of injury locomotor system. On several occasions thereafter treated at the Institute for Rehabilitation, where her all motor function recovered significantly.