A Case of Central Cord Syndrome Related Status Epilepticus: A Case Report.
10.5535/arm.2011.35.4.574
- Author:
Soyoung LEE
1
;
Jee eun LEE
;
Shimo YANG
;
Hyukwon CHANG
Author Information
1. Department of Rehabilitation Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Korea. mykuckkuck@gmail.com
- Publication Type:Case Report
- Keywords:
Central cord syndrome;
Status epilepticus
- MeSH:
Adult;
Asia;
Central Cord Syndrome;
Epilepsy;
Humans;
Ligaments;
Magnetic Resonance Imaging;
Muscle Contraction;
Prognosis;
Seizures;
Spinal Canal;
Spinal Cord;
Spinal Injuries;
Spine;
Status Epilepticus;
Traction;
Urinary Bladder
- From:Annals of Rehabilitation Medicine
2011;35(4):574-578
- CountryRepublic of Korea
- Language:English
-
Abstract:
Central cord syndrome (CCS) is extremely rare as a direct consequence of generalized epileptic seizure. CCS is associated with hyperextension of the spinal cord and has characteristic radiologic findings including posterior ligamentous injury and prevertebral hyperintensity following magnetic resonance imaging (MRI). We experienced the case of a 25-year-old man who suffered CCS after status epilepticus. Cervical spinal MRI revealed high signal intensity at the C1 level but with no signal or structural changes in other sites. After rehabilitation management, the patient significantly improved on the ASIA (American Spinal Injury Association) motor scale and bladder function. We proposed that epilepsy related CCS may be caused by muscle contractions during generalized seizure, which can induce traction injury of the spinal cord or relative narrowing of spinal canal via transient herniated nucleus pulposus or transient subluxation of vertebra. We also suggest CCS without radiologic findings of trauma has good prognosis compared with other CCS.
