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Central Cord Syndrome

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by Cresse M

(CCS; Central Cervical Cord Syndrome; Central Cord Injury; Injury, Central Cord; Paralysis, Upper Extremity; Syndrome, Central Cord; Syndrome, Central Cervical Cord; Upper Extremity Paralysis; Acute Central Cord Syndrome)

 

Causes

CCS is caused by damage to the central part of the spinal cord. This damage may occur when the neck is hyperextended. This can be associated with:
  • Syringomyelia (syrinx)—a cyst in the spinal cord
  • Loss of blood supply to the area
  • Bleeding in the spinal cord
  • Swelling
Common causes of injury include:
  • Trauma (such as car accident, sports injuries, falls)
  • Degenerative condition of spine (often found in older people)
  • Pre-existing condition, such as being born with a narrow spine
CSS can also be due to:
  • Structural problems
  • Tumors within the spinal cord
 

Risk Factors

Males over 50 are more likely to have this condition. Risk factors that increase your chances of developing CCS include:
 

RESOURCES

Christopher and Dana Reeve Foundation
http://www.christopherreeve.org

National Institute of Neurological Disorders and Stroke
http://www.ninds.nih.gov

National Spinal Cord Injury Association
http://www.spinalcord.org

 

CANADIAN RESOURCES

Canadian & American Spinal Research Organization
http://www.csro.com

Spinal Cord Research Centre
http://www.scrc.umanitoba.ca

 

References


Check for safety: a home fall prevention checklist for older adults. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ncipc/pub-res/toolkit/Falls%5FToolKit/DesktopPDF/English/booklet%5FEng%5Fdesktop.pdf. Published 2005. Accessed November 27, 2012.


Clinical Syndromes. J Spinal Cord Med. 2007;30:215-224.


Cortez R, Levi AD. Acute Spinal Cord Injury. Current Treatment Options in Neurology. 2007;9:115-125.


Finnoff JT, Midlenberger D, et al. Central cord syndrome in a football player with congenital spinal stenosis. Am J Sports Med. 2004;32:516-521.


NINDS central cord syndrome information page. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/central%5Fcord/central%5Fcord.htm. Updated September 27, 2011. Accessed November 27, 2012.


Rich V, McCaslin E. Central cord syndrome in a high school wrestler: a case report. J Athl Train. 2006;41:341-344.


Spinal cord injury—acute management. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 13, 2012. Accessed November 27, 2012.


Spinal cord injury—chronic management. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 6, 2012. Accessed November 27, 2012.


Spinal cord injury center. American Association of Neurological Surgeons website. Available at: http://www.spineuniverse.com/displayarticle.php/spinal-cord-3134.html. Updated November 9, 2009. Accessed November 27, 2012.


Spinal cord injury (SCI): prevention tips. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ncipc/factsheets/sciprevention.htm. Updated November 21, 2012. Accessed November 27, 2012.


Visocchi M, Di Rocco F, et al. Subacute clinical onset of post-traumatic myelopathy. Acta Neurochir. 2003;145: 799-804.

 

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