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Anterior Cord Syndrome

Flexion rotational force to spine Due to compression fracture of vertebral body or anterior dislocation Anterior spinal compression artery

Loss of power, reduced pain and temperature below the lesion.

Posterior Cord Syndrome


Hyperextension injuries with fractures of the posterior elements of the vertebrae Clinically: Proprioception affected ataxia and faltering gait. Usually good power and sensation

Central Cord Syndrome


Typically in older patient Hyperextension in injury More centrally situated cervical tracts tend to be more involved hence flaccid weakness of arms > legs Perianal sensation & some lower extremity movement and sensation preserved

Brown Sequard Syndrome


Hemi-section of the cord Clinically: Paralysis on affected side (corticospinal) Loss: of proprioception and fine discrimination (dorsal columns) Pain and temperature loss on the opposite side below the lesion (spinothalamic)

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