Spinal Cord Syndromes

Spinal Cord Syndromes is a topic covered in the 5-Minute Emergency Consult.

To view the entire topic, please or purchase a subscription.

Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:

Emergency Central

-- The first section of this topic is shown below --

Basics

Description

  • Anterior cord syndrome:
    • Results from flexion or axial loading mechanism or direct cord compression from vertebral fractures, dislocations, disc herniation, tumor, or abscess
    • Rarely, can be caused by laceration or thrombosis to the anterior spinal artery
  • Brown-Séquard syndrome:
    • Hemisection of the spinal cord, classically as a result of a penetrating wound
    • Rarely unilateral cord compression
  • Central cord syndrome:
    • Most commonly occurs in elderly patients who have pre-existing cervical spondylosis and stenosis
    • Forced hyperextension causes buckling of the ligamentum flavum, creating a shearing injury to the central portion of the spinal cord.
  • Dorsal cord syndrome:
    • Associated with hyperextension injuries
  • Complete cord syndrome:
    • Blunt or penetrating trauma that results in complete disruption of spinal cord
    • Symptoms that remain >24 hr generally are permanent.

Etiology

  • Spinal cord syndromes result from localized disruption of neurotransmission and exhibit mixed motor and sensory deficits. The most common mechanism is trauma.
  • Patients with arthritis, osteoporosis, metastatic disease, or other chronic spinal disorders are at risk of developing spinal injuries as the result of minor trauma.

-- To view the remaining sections of this topic, please or purchase a subscription --

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Spinal Cord Syndromes ID - 307030 Y1 - 2016 PB - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307030/all/Spinal_Cord_Syndromes ER -