Traumatic cervical central cord syndrome due to intramedullary hemorrhage studied with MRI: case presentation

Lagares, Alfonso; Pa, Gómez; Ramos, Ana; Jf, Alén; Rd, Lobato

doi:10.1007/s00586-001-0355-9

Cited by 8 publications

(2 citation statements)

References 16 publications

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“…A variety of neurological deficits and mechanisms of injury have been attributed to the central spinal cord. 9,13,20 Some authors [21][22][23][24] have argued that the somatisation of the upper cervical spine in higher mammals is less organised than originally outlined by Schneider et al 8 Others have questioned whether injuries to the upper cervical spinal cord actually reflect an injury to the decussation of the pyramids (Bell's cruciate paralysis) rather than an injury to the central cord. 10,25 Despite these discussions, the hallmark of injury to the central spinal cord has remained an injury to the cervical cord with disproportionate weakness in the upper limbs.…”

Section: Discussionmentioning

confidence: 99%

“…10,25 Despite these discussions, the hallmark of injury to the central spinal cord has remained an injury to the cervical cord with disproportionate weakness in the upper limbs. 8,9,[11][12][13][14]20 Several anatomical studies have tried to clarify the innervation of the musculature of the posterior cervical spine. 15,16 The major muscle groups which contribute to its stability and mobility consist of semispinalis capitis, semispinalis cervicis, multifidus, splenius capitis and splenius cervicis.…”

Section: Discussionmentioning

confidence: 99%

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Dropped-head syndrome resulting from injury to the central spinal cord at the upper cervical level

Rust

Ching

Hart

2011

The Journal of Bone and Joint Surgery. British volume

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There are many causes of paraspinal muscle weakness which give rise to the dropped-head syndrome. In the upper cervical spine the central portion of the spinal cord innervates the cervical paraspinal muscles. Dropped-head syndrome resulting from injury to the central spinal cord at this level has not previously been described. We report two patients who were treated acutely for this condition. Both presented with weakness in the upper limbs and paraspinal cervical musculature after a fracture of C2. Despite improvement in the strength of the upper limbs, the paraspinal muscle weakness persisted in both patients. One ultimately underwent cervicothoracic fusion to treat her dropped-head syndrome. While the cause of the dropped-head syndrome cannot be definitively ascribed to the injuries to the spinal cord, this pattern is consistent with the known patho-anatomical mechanisms of both injury to the central spinal cord and dropped-head syndrome.

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