Central Cord Syndrome
(CCS; Central Cervical Cord Syndrome; Central Cord Injury; Injury, Central Cord; Paralysis, Upper Extremity; Syndrome, Central Cord; Syndrome, Central Cervical Cord; Upper Extremity Paralysis; Acute Central Cord Syndrome)
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- Syringomyelia (syrinx)—a cyst in the spinal cord
- Loss of blood supply to the area
- Bleeding in the spinal cord
- Trauma , such as car accident, sports injuries, and falls
- Degenerative condition of spine—often found in older people
- Pre-existing condition, such as being born with a narrow spine
- Structural problems
- Tumors within the spinal cord
- Autoimmune disorder, such as multiple sclerosis and neuromyelitis optica
- Pre-existing condition, such as narrow spinal canal, spinal cord disease, and tethered cord
- Participation in certain sports, such as wrestling and diving
- Inability to lift arms and hands completely, or numbness and tingling
- Difficulty with fine motor control, such as buttoning a shirt
- Muscle weakness in legs, difficulty walking
- Loss of bladder control
- Restricting neck movement
- Giving steroids
- Doing physical and occupational therapy
- Avoid diving if you do not know how deep the water is.
- Always wear a seatbelt.
- Do not drink and drive. Do not ride with someone who has been drinking.
- Remove obstacles in your house, like throw rugs, that could cause falls.
- Use safe methods and proper equipment when playing sports.
- Secure firearms.
Christopher and Dana Reeve Foundation http://www.christopherreeve.org
National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov
Canadian Spinal Research Organization http://www.csro.com
Spinal Cord Research Centre http://www.scrc.umanitoba.ca
Check for safety: a home fall prevention checklist for older adults. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ncipc/pub-res/toolkit/Falls%5FToolKit/DesktopPDF/English/booklet%5FEng%5Fdesktop.pdf. Published 2005. Accessed November 20, 2014.
Clinical Syndromes. J Spinal Cord Med. 2007;30:215-224.
Cortez R, Levi AD. Acute Spinal Cord Injury. Current Treatment Options in Neurology. 2007;9:115-125.
Finnoff JT, Midlenberger D, et al. Central cord syndrome in a football player with congenital spinal stenosis. Am J Sports Med. 2004;32:516-521.
NINDS central cord syndrome information page. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/central%5Fcord/central%5Fcord.htm. Updated October 24, 2014. Accessed November 20, 2014.
Rich V, McCaslin E. Central cord syndrome in a high school wrestler: a case report. J Athl Train. 2006;41:341-344.
Spinal cord injury—acute management. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 10, 2014. Accessed November 20, 2014.
Spinal cord injury—chronic management. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 11, 2014. Accessed November 20, 2014.
Spinal cord injury (SCI): fact sheet. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/TraumaticBrainInjury/scifacts.html. Updated November 4, 2010. Accessed November 20, 2014.
Visocchi M, Di Rocco F, et al. Subacute clinical onset of post-traumatic myelopathy. Acta Neurochir. 2003;145: 799-804.
- Reviewer: Rimas Lukas, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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