Central cord syndrome — to operate or not?

Similar conditions somehow comes in threes. I managed a triplet of central cord syndrome recently… These sufferers are admitted with acute paralysis in all four limbs following a fall/minor trauma. They may be totally well before the fall but have silent pre-exitising spinal cord compression in the neck. The trauma suffered from hyper flexion of the neck… Continue reading Central cord syndrome — to operate or not?

Lumbar spinal stenosis

Axial view of central canal stenosis Sagittal MRI of L45 central canal stenosis This is a degenerative condition whereby the spinal canal is progressively narrowed by disc protrusion, overgrowth of posterior facet joints and buckling of the surrounding yellow ligaments. The neural elements are progressively pressed on. As a consequence patients experience numbness and weakness… Continue reading Lumbar spinal stenosis

Back pains

BACK PAIN Commonly refers to pain in the upper or lower back. Back pain is the second commonest medical complaint that brings people into a doctor’s clinic. Back pain commonly arise from injured muscles or tendons, which is described as soreness (酸 in Chinese) or may manifest as an acute sharp sensation that is worsened… Continue reading Back pains