SAQ 1005 – Central cord syndrome after cervical spine trauma

Marked out of 14.00

A 78-year-old man is brought to the ED after an unwitnessed fall down six steps. He is haemodynamically stable and amnesic to the fall. He has atrial fibrillation and takes dabigatran.

He has midline cervical tenderness and the CT cervical spine image is shown.

Sagittal CT cervical spine after a fall.
CT cervical spine.

Describe the significant findings on the CT cervical spine image.

(Marked out of 3.0)


/ 3

Describe the clinical findings expected in central cord syndrome.

(Marked out of 3.0)


/ 3

Explain the spinal tract distribution that produces this clinical pattern.

(Marked out of 1.0)


/ 1

Describe the mechanisms of action of dabigatran and idarucizumab.

(Marked out of 4.0)


/ 4

Several hours later he develops significant stridor and requires emergent intubation. List the patient-specific factors that will affect the percentage of glottic opening at laryngoscopy.

(Marked out of 3.0)


/ 3

Total Score: 0 / 14

Percentage: 0%