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.
| Published in | International Journal of Neurosurgery (Volume 4, Issue 1) |
| DOI | 10.11648/j.ijn.20200401.12 |
| Page(s) | 7-10 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Schneider, Cervical Trauma, Cervical Central Cord Syndrome
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APA Style
Denlewende Sylvain Zabsonre, Wendlassida Joelle Stéphanie Zabsonre Tiendrebeogo, Fulgence Kabore, Abdoulaye Sanou, Narcisse Damiba, et al. (2020). Schneider Syndrome Managed Surgically or by Conservative Treatment. International Journal of Neurosurgery, 4(1), 7-10. https://doi.org/10.11648/j.ijn.20200401.12
ACS Style
Denlewende Sylvain Zabsonre; Wendlassida Joelle Stéphanie Zabsonre Tiendrebeogo; Fulgence Kabore; Abdoulaye Sanou; Narcisse Damiba, et al. Schneider Syndrome Managed Surgically or by Conservative Treatment. Int. J. Neurosurg. 2020, 4(1), 7-10. doi: 10.11648/j.ijn.20200401.12
AMA Style
Denlewende Sylvain Zabsonre, Wendlassida Joelle Stéphanie Zabsonre Tiendrebeogo, Fulgence Kabore, Abdoulaye Sanou, Narcisse Damiba, et al. Schneider Syndrome Managed Surgically or by Conservative Treatment. Int J Neurosurg. 2020;4(1):7-10. doi: 10.11648/j.ijn.20200401.12
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author = {Denlewende Sylvain Zabsonre and Wendlassida Joelle Stéphanie Zabsonre Tiendrebeogo and Fulgence Kabore and Abdoulaye Sanou and Narcisse Damiba and Yacouba Haro and Ibrahim Dao and Alexandre Korsaga and Sayouba Tinto and Abel Kabre},
title = {Schneider Syndrome Managed Surgically or by Conservative Treatment},
journal = {International Journal of Neurosurgery},
volume = {4},
number = {1},
pages = {7-10},
doi = {10.11648/j.ijn.20200401.12},
url = {https://doi.org/10.11648/j.ijn.20200401.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20200401.12},
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.},
year = {2020}
}
TY - JOUR T1 - Schneider Syndrome Managed Surgically or by Conservative Treatment AU - Denlewende Sylvain Zabsonre AU - Wendlassida Joelle Stéphanie Zabsonre Tiendrebeogo AU - Fulgence Kabore AU - Abdoulaye Sanou AU - Narcisse Damiba AU - Yacouba Haro AU - Ibrahim Dao AU - Alexandre Korsaga AU - Sayouba Tinto AU - Abel Kabre Y1 - 2020/02/18 PY - 2020 N1 - https://doi.org/10.11648/j.ijn.20200401.12 DO - 10.11648/j.ijn.20200401.12 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 7 EP - 10 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20200401.12 AB - 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. VL - 4 IS - 1 ER -
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