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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, 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, neuromyelitis optica)
- Pre-existing condition (such as narrow spinal canal, spinal cord disease, tethered cord)
- Participation in certain sports (such as wrestling, diving)
- Unable 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
National Spinal Cord Injury Association http://www.spinalcord.org
Canadian & American 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 27, 2012.
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 September 27, 2011. Accessed November 27, 2012.
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 November 13, 2012. Accessed November 27, 2012.
Spinal cord injury—chronic management. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 6, 2012. Accessed November 27, 2012.
Spinal cord injury center. American Association of Neurological Surgeons website. Available at: http://www.spineuniverse.com/displayarticle.php/spinal-cord-3134.html. Updated November 9, 2009. Accessed November 27, 2012.
Spinal cord injury (SCI): prevention tips. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ncipc/factsheets/sciprevention.htm. Updated November 21, 2012. Accessed November 27, 2012.
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: 03/2013
- Update Date: 03/15/2013