C-Spine

Complete Cord Syndrome

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Complete Cord Syndrome, Spinal Cord Transection

  • Pathophysiology
  1. Images
    1. CordSyndrome.jpg
  • Causes
  1. Spinal Cord Injury (typically Cervical Spine Injury)
  2. Epidural Hemorrhage
  3. Acute disc Herniation
  • Signs
  1. Complete loss of motor, Sensation and autonomic function below the level of lesion
  • Complications
  1. Spinal Shock
  2. Neurogenic Shock (Sympathetic Nerve injury)
  3. Respiratory Failure due to diaphragmatic denervation (injury above levels C3-5)
  • Prognosis
  1. Poor rehabilitation potential for functional improvement of the affected levels
  • References
  1. Decker in Chorley and Bachur (2014) Overview of Cervical Spinal Cord Injuries..., UpToDate, Wolters-Kluwer
  2. Wagner (1997) Emerg Med Clin North Am 15:699-711 [PubMed]