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SPINAL CORD ANATOMY
AND CLINICAL
SYNDROMES Dr T.P Moja
FCS Neurosurgery
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Posterior column-medial lemniscus tract
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Spinothalamic tract
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Corticospinal tract
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CORD SYNDROMES
• Central cord syndrome
• Complete cord syndrome
• Brown sequard syndrome
• Anterior cord syndrome
• Posterior cord syndrome
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Central cord syndrome
• Weakness in the arms>legs
• Usually lower motor neuron weakness in the arms
• Upper neuron weakness in the legs.
• Rarely affects bladder and rectal sphincter
• Variable sensory loss
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Complete cord syndrome
• Quadriplegia/ Paraplegia
• Loss of all modalities of sensation below the level of the lesion
• Loss of sphincter control
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Brown sequard syndrome
• Ipsilateral weakness
• Ipsilateral loss of proprioception
• Contralateral loss of pain and temperature
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Anterior cord syndrome
• Quadriplegia/ Paraplegia
• Loss of sensation to pain and temperature below the level of the lesion
• Loss of sphincter control
• Preserved proprioception
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Posterior cord syndrome
• Loss of proprioception below the level of the lesion (sensory ataxia)
• Preserved motor function and pain sensation
• Normal sphincter function