Perkash I
Paraplegia. 1977 May;15(1):21-37. doi: 10.1038/sc.1977.5.
Based on the experience to date with central cord syndrome, most or all of the following conditions should be present before considering transurethral sphincterotomy: (1) minimal neurological recovery within 6 months of injury; (2) four plus spasticity in patients over the age of 50 years; (3) prolonged intermittent catheterisation over 6 months, with persistent residual urine over 300 ml; (4) persistent and repeated use of diazepam, dantrolene sodium to control pelvic floor spasticity; (5) demonstrable detrusor-sphincter dyssynergia.
根据目前对中央脊髓综合征的经验，在考虑经尿道括约肌切开术之前，应出现以下大多数或所有情况：（1）损伤后6个月内神经功能恢复极小；（2）50岁以上患者出现四级以上痉挛；（3）间歇性导尿超过6个月，残余尿量持续超过300毫升；（4）持续且反复使用地西泮、丹曲林钠来控制盆底痉挛；（5）存在明显的逼尿肌-括约肌协同失调。
