Akutes traumatisches Central Cord Syndrom bei Stenose – Operieren

Zusammenfassung

Das akute traumatische Central Cord Syndrom (aTCCS) wurde erstmalig 1887 beschrieben. Es ist der am häufigsten auftretende Typ einer inkompletten zervikalen Rückenmarksschädigung. Die neurologische Ausfallssymptomatik ist gekennzeichnet durch eine größere motorische Beeinträchtigung der oberen Extremitäten im Vergleich zu den unteren Extremitäten. Meist tritt das aTCCS bei älteren Patienten mit einer vorbestehenden zervikalen Spinalstenose im Rahmen eines Hyperextensionstraumas der Halswirbelsäule auf. Es wird die möglichst frühzeitige operative Therapie empfohlen. Eine primäre initiale intensivmedizinische Therapie ist empfohlen.

Abstract

The acute traumatic central cord syndrome (aTCCS) was first described in 1887. It is the most commonly encountered type of incomplete cervical spinal cord injury and characterized by a disproportionately greater impairment of motor function in the upper extremities than in the lower extremities. The aTCCS occurs most frequent in older patients with preexisting spinal stenosis who sustain a hyperextension injury of the neck. Early surgical treatment is recommended. Initial intensive care unit management is recommended.

Schlüsselwörter

Central Cord Syndrom - Halswirbelsäule - Trauma - Stenose - frühzeitig operieren

Keywords

Central cord syndrome - cervical spine - traumatic - stenosis - early surgical treatment

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