%0 Journal Article %A Lagares Gómez-Abascal, Alfonso %A Gómez, P.A. %A Ramos González, Ana %A Alen, J.F. %A Díez Lobato, Ramiro %T Traumatic cervical central cord syndrome due to intramedullary hemorrhage studied with MRI: case presentation %D 2002 %@ 0940-6719 %U https://hdl.handle.net/20.500.14352/115783 %X Cervical central cord syndrome is characterized by disproportionately greater motor impairment of the upperthan the lower extremities, predominantly distal motordysfunction, varying degrees of sensory abnormalities andbladder dysfunction . Classically it has been statedthat traumatic central cord syndrome may be caused bydifferent types of medullar injuries, ranging from edemaor concussion, through hematoma or contusion, to ischemia . However, recent studies have notdemonstrated the existence of intramedullary hemorrhageor blood products in cases of traumatic cervical centralcord syndrome (TCCCS) studied with magnetic resonance imaging (MRI) or at autopsy , and havetherefore concluded that most probably hemorrhage is nota predominant feature of this syndrome.MRI is the most sensitive diagnostic tool for studyingparenchymal spinal cord injuries, and is even more sensitive in detecting blood, especially in the acute phases ofinjury. We present a case of traumatic central cord syndrome in which acute MRI evaluation showed intramedullary hemorrhage as the main finding %~