Volume 4, Issue 1, June 2020, Page: 7-10
Schneider Syndrome Managed Surgically or by Conservative Treatment
Denlewende Sylvain Zabsonre, Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Wendlassida Joelle Stéphanie Zabsonre Tiendrebeogo, Rheumatology Department of Bogodogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Fulgence Kabore, Rheumatology Department of Bogodogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Abdoulaye Sanou, Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Narcisse Damiba, Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Yacouba Haro, Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Ibrahim Dao, Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Alexandre Korsaga, Orthopedics and Trauma Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Sayouba Tinto, Orthopedics and Trauma Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Abel Kabre, Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
Received: Jan. 2, 2020;       Accepted: Jan. 27, 2020;       Published: Feb. 18, 2020
DOI: 10.11648/j.ijn.20200401.12      View  304      Downloads  61
Abstract
Introduction. Schneider's syndrome is acute traumatic cervical central cord syndrome usually in stenotic cervical canal without other traumatic lesions. Early surgical management is controversial. The aim of this work was to study the treatment and evolution of cases of Schneider’s syndrome in our department. Methods. It was a retrospective study run over 5 years Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital. Results. Twenty-six (26) cases were included, all of them male. Average age was 53.69 years. Most frequent reasons of consultation were motor deficits of the 4 limbs (17 cases). On examination, the deficit predominated in thoracic limbs in 14 patients. There were 4 ASIA A, 5 ASIA B, 7 ASIA C and 10 ASIA D. Cervical traumas were mild or moderate in 22 cases. Cervical CT scan showed a narrowed cervical canal in all 24 cases where it was performed. MRI was done in 4 patients. It noted signs of spinal cord injury in all these cases. Ten patients were operated and 16 received conservative treatment. On leaving the hospital, 5 operated patients and 7 of those treated medically had partially recovered (p = 0.536). Conclusion. Schneider's syndrome most often occurred as a result of benign cervical trauma. There is no significant difference in the evolution of operated cases and those who had received conservative treatment. The therapeutic decision must be personalized and concerted.
Keywords
Schneider, Cervical Trauma, Cervical Central Cord Syndrome
To cite this article
Denlewende Sylvain Zabsonre, Wendlassida Joelle Stéphanie Zabsonre Tiendrebeogo, Fulgence Kabore, Abdoulaye Sanou, Narcisse Damiba, Yacouba Haro, Ibrahim Dao, Alexandre Korsaga, Sayouba Tinto, Abel Kabre, Schneider Syndrome Managed Surgically or by Conservative Treatment, International Journal of Neurosurgery. Vol. 4, No. 1, 2020, pp. 7-10. doi: 10.11648/j.ijn.20200401.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Lenehan B, Street J, O’Toole P, Siddiqui A, Poynton A. Central cord syndrome in Ireland: the effect of age on clinical outcome. Eur Spine J. 2009; 18: 1458–1463.
[2]
Lamothe G, Muller F, Vital J-M, Goossens D, Barat M. Evolution of spinal cord injuries due to cervical canal stenosis without radiographic evidence of trauma (SCIWORET): A prospective study. Annals of Physical and Rehabilitation Medicine. 2011; 54: 213–224.
[3]
Bowers CA, Kundu B, Hawryluk GW. Methylprednisolone for acute spinal cord injury: an increasingly philosophical debate. Neural Regen Res. 2016; 11 (6): 882-5.
[4]
Epstein NE and Hollingsworth R. Diagnosis and management of traumatic cervical central spinal cord injury: A review. Surgical Neurology International. 2015; 6 (4): 140-153.
[5]
Mung’ayi V, Qureshi M and Bugo J. Life threatening spinal shock and complete neurological recovery following minor spinal cord trauma in a patient with pre-existing cervical canal stenosis: case report. East African Medical Journal. 2009; 86: 529-532.
[6]
Meister R, Pasquier M, Clerc D, Carron PN. Choc neurogénique. Revue Médicale Suisse. 2014; 10: 1506-10.
[7]
Quenum K, Coulibaly O, Arkha Y, Derraz S, El Ouahabi A, El Khamlichi A. Atteinte médullaire cervicale post-traumatique sans lésion osseuse du rachis chez l’adulte: analyse de neuf cas consécutifs. Neurochirurgie. 2011; 57: 46–50.
[8]
Perennes M, Henaux PL, Seguin P. Un syndrome centromédullaire après une chute de sa hauteur. Ann. Fr. Med. Urgence. 2015; 5: 51-53.
[9]
Arul K, Ge L, Ikpeze T, Baldwin A, Mesfin A. Traumatic spinal cord injuries in geriatric population: etiology, management, and complications. J Spine Surg 2019; 5 (1): 38-45.
[10]
Perez R, Pablo M, Igor P, Javier C, Alfonso L. Cervical Spinal Cord Injury without Computed Tomography Evidence of Trauma in Adults: Magnetic Resonance Imaging Prognostic Factors Wor Neuro. 2017.99: P192-9.
[11]
Dahdaleh NS, Lawton CD, Ahmadieh TYE, Nixon AT, Tecle NEE, Oh S and Al. Evidence-based management of central cord syndrome. Neurosurg Focus. 2013; 35 (1): 1-7.
[12]
Park MS, Moon SH, Lee HM, Kim TH, Oh JK, Suh BK and al. Delayed Surgical Intervention in Central Cord Syndrome with Cervical Stenosis. Global Spine Journal. 2015; 5: 69–72.
[13]
Dvorak MF, Noonan VK, Fallah N, Fisher CG, Finkelstein J, Kwon BKet al. The influence of time from injury to surgery on motor recovery and length ofhospital stay in acute traumatic spinal cord injury: an observational Canadiancohort study. J Neurotrauma. 2015; 32 (9): 645-54.
[14]
Fehlings MG, Tetreault LA, Wilson JR, Aarabi B, Anderson P, Arnold PM and al. A Clinical Practice Guideline for the Management of PatientsWith Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing (24 Hours Versus >24 Hours) of Decompressive Surgery. Global Spine Journal. 2017; 7 (3): 195-202.
[15]
Divi SN, Schroeder GD, Mangan JJ, Tadley M, Ramey WL, Badhiwala JH and al. Management of Acute Traumatic CentralCord Syndrome: A Narrative Review. Global Spine Journal. 2019; 9: 89S-97S.
[16]
Karthik Yelamarthy P K, Chhabra HS, Vaccaro A, Vishwakarma G, Kluger P, Nanda A and al. Management and prognosis of acute traumatic cervical central cord syndrome: systematic review and Spinal Cord Society—Spine Trauma Study Group position statement. European Spine Journal, doi.org/10.1007/s00586-019-06085-z.
[17]
David W, Brodell BA, Amit J, John CE, Mesfin A. National Trends in the Management of Central Cord Syndrome; An Analysis of 16,134 patients. Spine J. 2015; 15 (3): 435–442.
Browse journals by subject