During a domestic dispute, a 22-year-old man is hit multiple times in the neck with a baseball bat. Now, he is not able to move. On examination, he is unable to feel pain or temperature but has vibration sense and proprioception.
Which of the following syndromes best describes his injury?
A. Central spinal cord syndrome
B. Posterior spinal cord syndrome
C. Anterior spinal cord syndrome
D. Posterior spinal artery syndrome
E. Central spinal artery syndrome
答案解析:
脊髓前动脉综合征或脊髓前动脉综合征是由脊髓前动脉缺血导致损伤平面以下的运动丧失,以及疼痛和温度感觉丧失引起的。 有完整的振动感觉和本体感觉。 中央脊髓综合征包括手臂和腿部的运动和感觉丧失,通常与颈部关节炎和年龄超过 50 岁有关。 脊髓后部综合征非常罕见,由过度伸展损伤引起,伴有本体感觉和振动觉丧失。 脊髓前动脉综合征与脊髓前综合征相同。
正确答案:C
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