Rapid Review: Central Cord Syndrome

Reviewed January 2024

Central Cord Syndrome

• Most common incomplete spinal cord syndrome
• Hyperextension injury
• Bilateral motor and sensory deficits
• Upper extremity > lower extremity

Sample question:

A 71-year-old man presents to the emergency department after falling on ice outside his home. He reports neck pain. He has an abrasion on his chin and decreased strength in his bilateral upper extremities. Strength is intact in his lower extremities. Which mechanism of trauma is most consistent with the suspected diagnosis?