C-Spine

Spinal Cord Syndrome

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Spinal Cord Syndrome

  1. Upper Motor Neuron Lesion (lesion proximal to the spinal cord anterior horn cells)
    1. Hyperreflexia
    2. Clonus
    3. Motor Spasticity
    4. Increased muscle tone
    5. Babinski sign positive
    6. Muscles without atrophy (normal muscle mass)
  2. Lower Motor Neuron Lesion (lesion distal to the spinal cord anterior horn cells)
    1. Motor Weakness
    2. Muscle Atrophy
    3. Muscle Fasciculations
    4. Deep Tendon Reflexes decreased
  • Causes
  1. Complete transection of the spinal cord
    1. Complete Cord Syndrome
  2. Partial spinal cord injuries
    1. Anterior Cord Syndrome
    2. Central Cord Syndrome
    3. Spinal Cord Hemisection (Brown-Sequard Syndrome, rare)
    4. Neuropraxia (Stinger, Burner)
  3. Images
    1. CordSyndrome.jpg
  • 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]