Hyperpathia in the central cervical cord syndrome

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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 center of the cord, in that weakness is greater in the upper limbs than the lower. The authors do not believe that the relative sparing of the legs can be accounted for on the basis that corticospinal fibers passing to the lumbar anterio horn cells lie laterally in the pyramidal tract, as has previously been suggested, as there is no evidence that there is such lamination in man. Severe pain in the shoulders and arms was a major symptom in 6 of the patients, even in those with relatively minor injuries. The nature of this pain was initially often not recognized.

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Hopkins, A., & Rudge, P. (1973). Hyperpathia in the central cervical cord syndrome. Journal of Neurology Neurosurgery and Psychiatry, 36(4), 637–642. https://doi.org/10.1136/jnnp.36.4.637

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