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Summary
We present a case which demonstrates the classical clinical symptoms and signs evident in an anterior spinal cord syndrome and explains the anatomical basis for the features seen with respect to the ascending and descending tracts in the spinal cord. It also demonstrates the clinical importance in conducting a detailed sensory examination to look for dissociated sensory loss and ascertaining the level of the pathology within the cord. The patient had made improvements following over a month of extensive rehabilitation on a specialist stroke unit.
- stroke
- spinal cord
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Footnotes
Contributors ND is the SHO on the team looking after the patient. His contribution included collecting the clinical information about the case and writing up the case report and discussion. He sourced the diagrams used in the discussion of the care report. CO was the neurology registrar who was involved in the case and provided advice to the ND’s team looking after the patient. After ND’ s initial draft, CO reviewed and edited and rewrote several paragraphs throughout the case report. CO also collected the appropriate radiological images and discussed the images with the neuroradiologist in order to ensure that author’ s description of them was accurate.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.