Stauber Mary A
College of Nursing, Marquette University, Milwaukee, Wiskonsin 53233, USA.
Adv Emerg Nurs J. 2011 Jul-Sep;33(3):226-31. doi: 10.1097/TME.0b013e31822610f2.
A middle-aged unrestrained driver involved in a minor motor vehicle crash arrived in the emergency department in complete spinal immobilization. The patient was initially moving both arms and legs spontaneously to commands, crying out in pain and complaining of pain out of proportion to his physical injuries. The only visible injury was a minor abrasion to the forehead. Spinal cord injuries related to trauma are not always obvious. Central cord syndrome (CCS) should be included in the differential diagnosis for spinal cord injuries, even with a minor hyperextension injury without a cervical spine fracture. This case study outlines the etiology, pathophysiology, diagnostic tests, and management of a patient with CCS.
一名卷入轻微机动车碰撞事故的中年未系安全带驾驶员，在完全脊柱固定的情况下被送往急诊科。患者最初能根据指令自主活动双臂和双腿，疼痛难忍，且抱怨疼痛程度与身体损伤不符。唯一可见的损伤是前额有一处轻微擦伤。创伤性脊髓损伤并不总是显而易见的。即使是没有颈椎骨折的轻微过伸损伤，在脊髓损伤的鉴别诊断中也应考虑中央脊髓综合征（CCS）。本病例研究概述了一名中央脊髓综合征患者的病因、病理生理学、诊断测试和治疗方法。
