- Discussion:
- type of
incomplete cord syndrome:
- injury to either side of spinal cord produces ipsilateral muscle paralysis (from
corticospinal tract injury) and contralateral hypersthesia to pain and temperature
(from spinothalamic injury);
- syndrome results from hemitransection of spinal cord w/ unilateral damage to the
spinothalamic & corticospinal tracts and resultant loss of ipsilateral motor
& dorsal column function & of contralateral pain and temperature sensation;
- often due to penetrating trauma or unilateral facet fracture or
dislocation;
- Diff Dx:
-
Primary Spinal Cord Neoplasia:
- Prognosis:
- this syndrome has a good prognosis for recovery;
- more than 90% of pts regain bladder & bowel control & ability to walk;
- most patients will regain some strength in lower extremities and most
will regain functional walking ability;;
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Blunt cervical spine Brown-S'equard injury. A report of three cases.
