Article Text

PDF

Hyperpathia in the central cervical cord syndrome
  1. Anthony Hopkins,
  2. Peter Rudge
  1. Department of Neurology, St. Bartholomew's Hospital, London
  2. The Institute of Neurology, Queen Square, London

    Abstract

    Seven patients are described with hyperextension or flexion injury to the cervical cord. They illustrate the symptoms and signs previously associated with damage to the centre of the cord, in that weakness is greater in the upper limbs than the lower. We do not believe that the relative sparing of the legs can be accounted for on the basis that corticospinal fibres passing to the lumbar anterior horn cells lie laterally in the pyramidal tract, as has previously been suggested by Schneider, Cherry, and Pantek (1954) as there is no evidence that there is such lamination in man. Severe pain in the shoulders and arms was a major symptom in six of the patients, even in those with relatively minor injuries. The nature of this pain was initially often not recognized.

    Statistics from Altmetric.com

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.