Spinal Cord Syndromes

Syndromes, causes and clinical signs

SyndromeCausesClinical Features
Complete transectionTrauma
Infection
Transverse myelitis
Tumour
Complete loss of motor and sensory function below the level of the lesion
HemisectionTrauma
MS
Abscess
Ipsilateral loss of motor function and light touch below the lesion
Contralateral loss of pain/temperature below the lesion
ipsilateral loss of pain/temperature AT the level of the lesion
Central cord syndromeCervical hyperextension injury
Syringomyelia
Transverse myelitis
Loss of motor > sensory
Loss of upper limb > lower limb function
Loss of distal > proximal function
Bladder dysfunction
Anterior spinal artery syndromeAnterior spinal artery occlusion (a. of Ademkiewicz)
– athero-embolic
– AAA
– EVAR
– Vasculitic
Trauma (hyperFLEXION)
Abscess
Bilateral loss of motor function and pain below the level of the lesion
Preservation of proprioception
Cauda equinaTrauma (below L1)
Abscess
Tumour
Haemorrhage
Bowel / bladder dysfunction
Saddle paraesthesia
sexual dysfunction

There are other syndromes, but these are the main ones

Here’s a nice schematic from Pearl NA, Dubensky L. Anterior Cord Syndrome. [Updated 2021 Aug 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559117/