clinical features

Last reviewed 10/2020

The presentation of a spinal cord compression depends upon:

  • site of lesion - intramedullary lesions produce within spinal segmental damage only; others produce cord both root and segmental damage

  • extent of lesion - partial, e.g. Brown Sequard, or complete

  • level of lesion - roots only damaged below L1

  • speed of onset - rapidly progressive lesions usually produce permanent deficits

  • 'spinal shock' - upper motor neurone disease - but with a flaccid paralysis, loss of reflexes, absent plantar reflexes