#centralcordsyndrome

[neurologyteachingclub]

Central cord syndrome For discussion of these images, follow 'Clinical neurology with KD' podcast episode five in Apple podcast, Spotify or Google podcast. Full notes are available on the neurologyteachingclub.com website. The spinal cord is damaged by a lesion starting from the centre of the cord, expanding outwards. Syringomyelia and intramedullary tumours like ependymoma are typical examples. The bladder fibres are located in the centre of the cord and are involved early. The exemption is syringomyelia, where bladder fibres are not involved early. After the bladder, the fibres involved are crossing over pain and temperature at that level in front of the central canal. This results in suspended pain and temperature loss at that level on both sides, with normal pain sensations above and below. The suspended sensory loss is a classical feature of an intramedullary lesion. There is dissociated sensory loss with pain involved but not touch and vibration. As the tumour increase in size, the corticospinal tract will be affected. In the corticospinal tract, the cervical fibres are medial, so they are involved first. The damage to anterior horn cells in the ventral horn can present as weakness and wasting of the upper limbs. As the lesion increase in size, the dorsal column and spinothalamic tract get involved. The sacral fibres are most laterally placed in the lateral spinothalamic tract and the last involved. #clinicalneurologywithkd #neurologyteachingclub #neurologypodcast #NTC #neurology #neurosciences #neuro #clinicalneurology #medicine #clinicalmedicine #kdpodcast #mbbs #medicos #doctors #neuroanatomy #casediscussion #medicineresidents #residency #medschool #futureneurologist #neuroimages #NEET #finalmbbs #neetpg #neetsuperspeciality #neetmedicine #eanneurology #syringomyelia #spinalcord #centralcordsyndrome https://www.instagram.com/p/CYoCGqoPcy2/?utm_medium=tumblr