外傷性中央髓質症候群：臨床表徵及個案報告

Traumatic Central Cord Syndrome: Clinical Features and a Case Report

李昭儀(Chao-Yi Lee)

《職能治療學會雜誌》 9卷 (1991/12) Pp. 93-102

https://doi.org/10.6594/JTOTA.1991.09.08

摘要

本文旨在描述中央髓質症候群之臨床表徵並提出個案報告。外傷性中央髓質症候群常見於不完全性脊髓損傷，早期文獻報告認為本症候群是老人跌落後頸部過度伸展所造成，並不主張手術處理。最近的報告則發現年輕人也極易發生，原因的種類繁多，諸如車禍、跌落、運動傷害等，且頸部屈曲也是極重要之發生機制。適當的手術處理和完整的復健可促進更好的神經性恢復，使患者盡可能獨立地重返家庭及社會。

並列摘要

This paper describes the clinical features of the central cord syndrome and a case report is presented. Neurological recovery of the incomplete spinal cord injury is better than that of complete spinal cord injury. However, the variations are also greater in the former. The syndrome was attributed, in earlier reports, to the cervical hyperextension following a fall in the elderly & surgical management was not recommended. More recently, younger cases have been reported and cervical flexion has been noted as a possible mechanism of the syndrome. Appropriate surgical management and rehabilitation would facilitate better neurological recovery from the syndrome, thereby increasing the possibility of regaining independence in daily activities.

並列關鍵字

incomplete spinal cord injury ； quadriparesis ； central cord syndrome