Traumatic central cord syndrome after blunt cervical trauma: a pediatric case report

Spinal Cord Series and Cases, 2016 · DOI: 10.1038/scsandc.2016.14 · Published: December 15, 2016

Simple Explanation

Traumatic central cord syndrome (CCS) is an incomplete spinal cord injury where the patient experiences weakness, usually greater in the upper extremities than in the lower extremities. This weakness is due to damage to the cervical spinal cord and the way the corticospinal tracts are arranged. CCS is typically seen in older patients after a hyperextension injury, but this case reports an unusual instance of traumatic CCS in a 15-year-old male following blunt cervical trauma from bullying.

Study Duration

3 weeks

Participants

A 15-year-old male patient

Evidence Level

Case Report

Key Findings

1
A 15-year-old male developed CCS after blunt cervical trauma from bullying, presenting with greater weakness in the upper extremities.
2
Imaging showed contusive changes in the C4-C7 central spinal cord.
3
After rehabilitation, the patient showed significant improvement in muscle strength.

Research Summary

This case report describes a rare instance of traumatic central cord syndrome (CCS) in a 15-year-old male following blunt cervical trauma due to bullying. The patient presented with weakness predominantly in the upper extremities, and imaging revealed contusive changes in the cervical spinal cord. The patient showed improvement after rehabilitation, highlighting the importance of early diagnosis and intervention for CCS in pediatric patients.

Practical Implications

Increased Awareness

This case highlights the need for physicians to be aware of CCS in pediatric patients following blunt trauma, even in unusual circumstances like bullying.

Early Intervention

Early diagnosis and rehabilitation can lead to improved functional outcomes in pediatric CCS cases.

Imaging Importance

MRI is a crucial tool for diagnosing CCS and identifying spinal cord injuries, particularly in cases without radiographic abnormalities.