Different Incomplete Spinal Cord Injuries
|Brown Sequard Syndrome ||Injury of half of the Spinal cord. Penetrating gunshot or stab wounds |
|Brown Sequard Syndrome affects ||pt. loses motor, properioception and vibration on the same side of the injury. Pt. loses pain and temperature on the opposite side of the injury- few segments lower. Independent ADL's. Continent of bowel and bladder. |
|Anterior Cord Syndrome ||Flexion injury- cervical spine fracture- dislocation of the cervical vertebrae |
|Anterior Cord Syndrome affects ||Pt. loses motor, pain and temperature bilaterally below the level of injury. Pt. can percieve position sense and vibration below the level of injury. Limited prognosis all voluntary motor function is lost. |
|Dorsal Column syndrome ||Rare incomplete injury. Damage to posterior artery by tumor or vascular infarct |
|Dorsal Column Syndrome affects ||Pt. loses ability to percieve properioception and vibration.
Pt's ability to move and percieve pain is intact.
|Cauda Equina ||Direct trauma from fracture-dislocation below L1. Incomplete lower motor neuron lesion. |
|Cauda Equina affects ||Flaccidity, areflexia and loss of bowel and bladder function. Regeneration of peripheral nerve root is possible. |
|Central Cord Syndrome ||Most common, incomplete injury. Progressive stenosis or compression-hyperextension injuries. Bleeding into central gray matter-damages spinal cord. |
|Central Cord affects ||UE involved more than LE. 3 different sensory tracts- spinothalamic, corticospinal and dorsal columns. Bowel and bladder and sexual function perserved if sacral segments are intact. Ambulation is possible. Functional Independence in ADL's-UE regained. |