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