What is Central Cord Syndrome?
Central Cord Syndrome is an incomplete type of spinal corduroy injury which is unremarkably make due to a psychic trauma in which there is disruption of the signal which total and go from the nous and thespinal electric cord . Central Cord Syndrome results in hard impairment of the upper extremities include the arms and hand . The lower member may also be impress by this circumstance but it is to a much less extent .
As express Central Cord Syndrome , stimulate impairment of the transmission of signal to and from the parts of the trunk which lie down below the level of the hurt but the signal is not completely blocked and hence Central Cord Syndrome is given the terminus as an incomplete injury . In Central Cord Syndrome , there is damage to the spunk fiber which channel selective information from the mentality to the spinal cord .
The nerves which are damage are extremely substantive for the performance of the upper extremities like the arm and the hired man and thus Central Cord Syndrome may also in some case make paralysis and/or impairment in fine motor control of the hands and limb . Central Cord Syndrome may also cause departure of wizard below the level of the spinal cord accidental injury . It may also cause loss of bladder control condition but all of these symptoms depend on the extent of the injury and how much the heart fibers are damaged .
What are the Causes of Central Cord Syndrome?
As stated , above , the main cause for Central Cord Syndrome is an injury which is usually a hyperextension injury in an individual with a preexisting condition ofcervical spondylosis . Since cervical spondylosis is mostly seen in the older population and hence Central Cord Syndrome is unremarkably seen in this age group but there have been cases of Central Cord Syndrome in the untried population as well . In the younger population Central Cord Syndrome may occur due to a draw trauma to the cervical rachis as a result of a motor vehicle collision causing hyperextension of the cervical thorn . Also , the great unwashed with an fluid cervical spine are also predispose to have Central Cord Syndrome .
What are the Symptoms of Central Cord Syndrome?
The classic presenting symptom of a Central Cord Syndrome is the mien of profound motor impuissance of the upper extremities . There is helplessness of the depleted extremity as well but to a much less extent when compare to the upper extremities . There may also be loss of sensation of the upper extremities . Some patients may feel loss of bladder control due to Central Cord Syndrome while some patient may suffer from urinary retention . Central Cord Syndrome affects males more than female and is usually found in mass above the old age of 50 , although it may occur in unseasoned soul as well .
How is Central Cord Syndrome Diagnosed?
The diagnosis of Central Cord Syndrome Evaluation begins with a complete and detailed history taking of the patient to look for any evidence of an trauma to the cervical spine or if the patient has a history of cervical spinedislocationepisodes in the yesteryear . This is followed by a thorough neurological interrogation in which the doctor will examine the patient ’s strength , reflexes , and sensation in the affected upper extremity . Once Central Cord Syndrome is suspected then the doctor may dictate radiological study like an MRI scan , CT scan , or a plain hug drug - ray of the cervical spine to look at the internal structures of the cervical spur . These advanced study will clearly show any equipment casualty to the muscle fibers in the cervical spine and thus confirm the diagnosing of Central Cord Syndrome .
How is Central Cord Syndrome Treated?
The treatment for Central Cord Syndrome is two fold surgical and nonsurgical . Surgical treatment is done when there is severe compression of the cervical spine and the muscle fibers are astutely damaged . Through a surgical procedure the spine is decompressed and the brawniness fiber repaired to restore normal functioning of the upper extremities and relief of other symptoms of Central Cord Syndrome .
If the symptoms are restrained and there is not a pregnant compression of the cervical prickle then usually observation is the method of treatment for fundamental corduroy syndrome . In most type , there is pregnant neurologic melioration observed with time resulting in important easing of symptom and return of motor procedure thus negate the want for surgery for treat Central Cord Syndrome . Some of the nonsurgical method of treat Central Cord Syndrome are utilizing cervical collar for everlasting immobilizing of the neck opening , using steroids , and rigorousphysical therapyfor strengthen and stabilizing the spine so as to improve the symptom because of Central Cord Syndrome .
What is the Prognosis of Central Cord Syndrome?
The prospect of Central Cord Syndrome is quite good with legal age of the patients , particularly the younger universe produce complete recovery and replication of motor occasion within six weeks of the injury . The function of the leg returns first , followed by return of function of bladder , and then complete recovery of the function of the upper extremity .
The prospect for the senior population with cardinal corduroy syndrome is somewhat guarded depending on the extent of the hurt and how static the cervical spine is and in some case there might not be substantial improvement despite surgical and nonsurgical treatments for Central Cord Syndrome .
