Department of Neurosurgery, University of Arizona, Banner University Medical Center, PO Box 245070, 1501 North Campbell Avenue, Room 4303, Tucson, AZ 85724-5070, USA.
Department of Neurosurgery, University of Arizona, Banner University Medical Center, PO Box 245070, 1501 North Campbell Avenue, Room 4303, Tucson, AZ 85724-5070, USA.
Neurosurg Clin N Am. 2021 Jul;32(3):353-363. doi: 10.1016/j.nec.2021.03.007. Epub 2021 May 7.
This article reviews the historical origins of central cord syndrome (CCS), the mechanism of injury, pathophysiology, and clinical implications. CCS is the most common form of incomplete spinal cord injury. CCS involves a spectrum of neurologic deficits preferentially affecting the hands and arms. Evidence suggests that in the twenty-first century CCS has become the most common form of spinal cord injury overall. In an era of big data and the need to standardize this particular diagnosis to unite outcome data, we propose redefining CCS as any adult cervical spinal cord injury in the absence of fracture/dislocation.
这篇文章回顾了中央脊髓综合征(CCS)的历史起源、损伤机制、病理生理学和临床意义。CCS 是最常见的不完全性脊髓损伤形式。CCS 涉及一系列神经功能障碍,优先影响手和手臂。有证据表明,在 21 世纪,CCS 已成为最常见的总体脊髓损伤形式。在大数据时代,需要对这一特定诊断进行标准化以统一结果数据的情况下,我们建议将 CCS 重新定义为任何无骨折/脱位的成人颈段脊髓损伤。