Category: Area giovani

Sindrome midollare centrale post-traumatica: caso clinico


An 80 years old man arrived at the Emergency Department after an accidental fall from a 2-meter-height. In two hours he developed motor impairment of the upper extremities and urinary retention. An angio-MR showed an altered signal area of post-traumatic origin in the intersomatic space between C3 and C4. Clinical and instrumental data led us to the diagnosis of traumatic central spinal cord syndrome (CCS). CCS is the most common incomplete spinal cord injury (SCI) syndrome, accounting for approximately 9% of traumatic SCIs; it is characterized by disproportionate impairment (weakness and reduced function) of the upper limbs compared with the lower limbs, bladder dysfunction and varying degrees of sensory loss at and below the level of lesion. It has a favorable prognosis among the SCIs.


Itjem is the official italian scientific review for emergency medicine.

Publisher: Simeu, Società italiana della medicina di emergenza-urgenza, via Valprato, 68 Torino -

Editorial coordination: Silvia Alparone.

Scientific Manager : Giuliano Bertazzoni; Operating Editorial Board: Paolo Balzaretti, Guido Borasi, Rodolfo Ferrari, Mauro Giordano, Paolo Groff, Emanuele Pivetta;

Advisory Board: Michele Gulizia, Riccardo Lubrano, Marco Ranieri, Maria Pia Ruggieri, Roberta Petrino, Francesco Violi.

Editorial Board and Reviewers: Giancarlo Agnelli, Giancarlo Avanzi, Marco Baroni, Stefania Basili, Alessio Bertini, Francesco Buccelletti, Gian A. Cibinel, Roberto Cosentini, Fabio De Iaco, Andrea Fabbri, Paola Noto, Giovanni Ricevuti, Fernando Schiraldi, Danilo Toni.

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