Episode17: Posterior Cord Syndrome

Notes by Alexis Lancaster, SPT

What is it?

  • Damage to the posterior cord itself
  • Occlusion of posterior spinal artery
  • Very rare

 

Differential diagnosis

  • Any of the other spinal cord syndromes (anterior/brown sequard/central cord)

 

Clinical presentation

  • Isolated loss of proprioception, vibration, & discriminative touch

 

Special tests

  • Clinical presentation stated above
  • CT/MRI for confirmation

 

Treatment

  • ICF model
  • Medical management
  • Bowel/bladder program
  • Motor learning
  • Task-specific training
  • Weight-bearing
  • Neuromuscular re-education
  • Tone management
  • FES
  • Aerobic training
  • Positioning
  • Bracing/splinting
  • Locomotion
  • Keeping an eye on shoulder pain
  • Allow compensation in this population

 

Sample question

  • Identification of the mechanism of injury related to this condition
  • Identification of clinical presentation