Hyperflexion Injury of Cervical Spine and Central Cord Syndrome in a Child

Saleh, Jamshid; Raycroft, John F.

doi:10.1097/01241398-199207000-00088

Cited by 5 publications

(8 citation statements)

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“…It is postulated that the syndrome results from anteroposterior compression of the cord occurring when the cord is ‘pinched’ between vertebral osteophytes anteriorly and a buckling ligamentum flavum posteriorly during hyperextension of the neck. This produces contusion of the cord resulting in ischaemic neuronal damage 2–7 . It is also postulated that in compression of the cord, the majority of these compressive forces are transferred to the central aspect of the cord 3,6 …”

Section: Discussionmentioning

confidence: 99%

“…This produces contusion of the cord resulting in ischaemic neuronal damage. [2][3][4][5][6][7] It is also postulated that in compression of the cord, the majority of these compressive forces are transferred to the central aspect of the cord. 3,6 The pattern of motor impairment is considered secondary to the lamination within the lateral corticospinal tract in the cervical cord.…”

Section: Discussionmentioning

confidence: 99%

“…1,6,12 It has been described following a hyperflexion injury, also in children with normal calibre cervical canal. 13,14 Transient quadriplegia with recovery to a state of CCS has been described. 15 This is a possible explanation for the collapse and apparent respiratory arrest is this case.…”

Section: Aetiology Of Central Cord Syndrome In This Casementioning

confidence: 99%

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Central cord syndrome following assault and subsequent resuscitation

Ryan

2003

Emergency Medicine

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Following physical assault, a 71‐year‐old male suffered apparent cardio‐respiratory arrest. Bystander basic life support was provided. Advanced life support including endotracheal intubation was subsequently provided. The patient sustained an injury to the cervical spinal cord, manifesting as central cord syndrome. Central cord syndrome is a rare complication of endotracheal intubation and there is no published description following physical assault. This case illustrates that determining precise causality with respect to cervical cord injury may be difficult following standard resuscitation procedures. The pathophysiology of central cord syndrome is reviewed and the possible mechanism in this case, which was the subject of considerable legal debate, is also examined.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Central cord syndrome following assault and subsequent resuscitation

Ryan

2003

Emergency Medicine

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“…Hyper‐extension injuries with associated facial or forehead trauma are a consistent feature 3,5 and it would appear that extension/rotation mechanisms are common in the younger age group 5 . CCS has in fact been described in children as young as two years 6,7 .…”

Section: Discussionmentioning

confidence: 99%

Central cord syndrome

Kennedy¹

1995

Emergency Medicine

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“…Many authors 55,56,57 have found no difference in outcome between patients treated surgically and those treated non surgically, recommending surgery for patients with markedly unstable injuries, irreducible dislocation and incomplete injuries associated with progressive neurological symptoms.…”

Section: Age No Of Patientsmentioning

confidence: 99%

A study on pediatric spinal injury: An IPGMER, Kolkata experience

Dhal¹,

Roy²,

Ghosh³

et al. 2006

The Indian Journal of Neurotrauma

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Pediatric spinal trauma is devastating and life-threatening. The medical, emotional and economic impact can be immense throughout the lifespan of the injured child, if not treated in time. Seventy five percent of the injury occurs in the cervical region between the age of infancy and eight years, but the incidence decreases with increasing age. Beyond 14 years, the incidence follows the adult pattern. Management depends upon the age, severity, level of injury and degree of neurological deficits. Surgical techniques like fusion and instrumentation can be successfully used in children also. Our study aims to analyze the incidence, mechanism of injury, risk factor, treatment and outcome of pediatric spinal injuries treated at our institute from September 2000 to August 2004. Total number of patients was 50 (M=32, F=18), and were divided into two age groups (0?8 years, 9?14 years). All patients were assessed clinically and radiologically. Surgical treatment was offered in 14 patients. All patients were followed up for a period ranging from 6 months to three years. Pediatric spinal injuries are no longer rare, and different types of fusion and instrumentation procedures can be performed with a good outcome.

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Hyperflexion Injury of Cervical Spine and Central Cord Syndrome in a Child

Cited by 5 publications

References 0 publications

Central cord syndrome following assault and subsequent resuscitation

Central cord syndrome following assault and subsequent resuscitation

Central cord syndrome

A study on pediatric spinal injury: An IPGMER, Kolkata experience

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