CENTRAL CORD SYNDROME- A CLINICAL STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 30
Abstract
BACKGROUND The importance of determining whether a patient has a complete or incomplete cord injury cannot be overemphasized in the overall prognosis. An incomplete spinal cord syndrome may be a Brown Sequard Syndrome, central cord syndrome, anterior cord syndrome, posterior cord syndrome or rarely monoparesis of the upper extremity. 90% of the incomplete lesions produce either a central cord syndrome, a Brown Sequard Syndrome or an anterior cord syndrome. Central cord syndrome is often missed in the casualty if the condition is suspected by the treating surgeon. We wanted to estimate the outcome of Central Cord Syndrome. We also wanted to estimate the age and gender distribution, mechanism of injury, and modalities of treatment regarding cervical spine injuries.2 and the importance of soft tissue shadow while evaluating X-Ray with cervical spinal injury. METHODS This is a hospital-based retrospective study conducted at Government Medical College, Kottayam, and Kollam, between 01/06/1993 to 31/12/1995 and 14/11/2018 to 30/4/2019. This study included 50 study participants. Most of the patients were from 30-50 years age group. Male to female ratio was 10:1. RESULTS Mortality rate was 2%. Flexion rotation injury was seen in 6 patients, and hyperextension injury was seen in 44 patients. During radiological examination, soft tissue shadow of 3-5 mms was seen in 12, more than 5 mms in 18, and no soft tissue widening in 2 patients. Causes of injury (mechanism-wise) included motor vehicle accidents- 32, falls- 14, sports- 0, acts of violence (e.g. diving)- 2 and others- 2. CONCLUSIONS The most common condition among the incomplete spinal cord injuries is CCS (Central Cord Syndrome). Distribution by aetiology- motor vehicle accidents comes first. People having cervical spondylosis and cervical canal stenosis were vulnerable to central cord syndrome. People in 30-50 years age group showed maximum prevalence. Hyper extension injury came first as the mechanism of injury. Flexion rotation can also produce central cord syndrome particularly in younger individuals.
Authors and Affiliations
Vinod Kumar B. P
Keywords
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- EP ID EP670366
- DOI 10.18410/jebmh/2019/414
- Views 76
- Downloads 0
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