Spinal cord injury. Central cord syndrome is characterized by weakness ue>le, with urinary retention and sensory loss below the level of the lesion. The arms and hands maybe paralyzed or moderately weak, the legs may be severely weak or minimally weak. The accuracy of the neurologic exam in the first week is more important in prognosis than imaging studies.
Very serious problem. Central cord syndrome can have devastating long term consequences in terms of strength and gait. Once diagnosed and the source of the spinal cord injury found, some sort of surgical intervention may be needed.