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A Case of Central Cord Syndrome Related Status Epilepticus - A Case Report -

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Author(s)
Soyoung LeeJee-eun LeeShimo YangHyukwon Chang
Keimyung Author(s)
Lee, So YoungChang, Hyuk Won
Department
Dept. of Rehabilitation Medicine (재활의학)
Dept. of Radiology (영상의학)
Journal Title
Annals of Rehabilitation Medicine
Issued Date
2011
Volume
35
Issue
4
Keyword
Central cord syndromeStatus epilepticus
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 fi ndings including posterior
ligamentous injury and prevertebral hyperintensity following magnetic resonance imaging (MRI). We experienced
the case of a 25-year-old man who suff ered 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 fi ndings
of trauma has good prognosis compared with other CCS.
Keimyung Author(s)(Kor)
이소영
장혁원
Publisher
School of Medicine
Citation
Soyoung Lee et al. (2011). A Case of Central Cord Syndrome Related Status Epilepticus - A Case Report -. Annals of Rehabilitation Medicine, 35(4), 574–578. doi: 10.5535/arm.2011.35.4.574
Type
Article
ISSN
2234-0645
DOI
10.5535/arm.2011.35.4.574
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39442
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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