A 19-year-old hockey player is checked into the boards. He has neck pain and burning dysaesthesia in both hands. Motor power is weaker in the arms

Question

A 19-year-old hockey player is checked into the boards. He has neck pain and burning dysaesthesia in both hands. Motor power is weaker in the arms than legs; CT cervical spine shows degenerative canal narrowing without fracture. What is the most appropriate next step?

Accepted Answer

Immobilise the spine and obtain urgent MRI with spine consultation for suspected central cord syndrome

Answer

Remove the collar and discharge because CT shows no fracture

Answer

Give oral antibiotics for neuropathic pain

Answer

Arrange routine outpatient physiotherapy

Answer

Perform shoulder reduction

Central cord syndrome — RCPSC EM MCQ

A 19-year-old hockey player is checked into the boards. He has neck pain and burning dysaesthesia in both hands. Motor power is weaker in the arms than legs; CT cervical spine shows degenerative canal narrowing without fracture. What is the most appropriate next step?