C-Spine
Anterior Cord Syndrome
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Anterior Cord Syndrome
, Anterior Spinal Artery Syndrome
See Also
Complete Cord Syndrome
Central Cord Syndrome
Spinal Cord Hemisection
(
Brown-Sequard Syndrome
)
Posterior Cord Syndrome
Spinal Cord Syndrome
Cervical Spine Injury
Pathophysiology
Flexion injury or
Anterior Spinal Artery
injury affecting
Spinothalamic Tract
s and
Corticospinal tract
s
Spinothalamic Tract
involvement helps to distinguish from other
Spinal Cord Syndrome
s
Images
Causes
Spinal cord crush injury
Epidural Hematoma
related pressure injury
Hyperflexion injury in athletes (if bony instability)
Anterior Spinal Artery
compression with secondary cord ischemia (affects anterior two thirds of spinal cord)
Vascular disease (e.g. elderly)
Cross-Clamping aorta
Signs
Motor weakness (below injury level)
Pain and
Temperature
sense loss (below injury level)
Proprioception and vibratory
Sensation
are spared
References
Decker in Chorley and Bachur (2014) Overview of Cervical Spinal Cord Injuries..., UpToDate, Wolters-Kluwer
Wagner (1997) Emerg Med Clin North Am 15:699-711 [PubMed]
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