Shaw E V
Department of Emergency Medicine, Harrisburg Hospital, PA.
Am J Emerg Med. 1995 Jan;13(1):41-2. doi: 10.1016/0735-6757(95)90239-2.
Central cord syndrome is the most common incomplete traumatic spinal cord lesion. It is characterized by disproportionately greater upper-extremity motor impairment than lower-extremity motor impairment, bladder dysfunction, and variable degree of sensory loss below the level of the injury. This article reports the case of a patient who presented with unilateral weakness after a fall and later developed the typical central cord syndrome. The variability of central cord syndrome has been discussed by other authors, but this is the first case of a patient that initially presented as unilateral weakness.
中央脊髓综合征是最常见的不完全性创伤性脊髓损伤。其特征是上肢运动功能障碍比下肢运动功能障碍更为严重，伴有膀胱功能障碍，以及损伤平面以下不同程度的感觉丧失。本文报告了一例患者，该患者跌倒后出现单侧肢体无力，随后发展为典型的中央脊髓综合征。其他作者已讨论过中央脊髓综合征的变异性，但这是首例最初表现为单侧肢体无力的患者。
