![]() Recent studies indicate that in order to apply the diagnosis of ATCCS, the upper extremity American Spinal Injury Association (ASIA) motor score should be at least 10 points less than the lower extremities ASIA Motor Score., Based on 2 postmortem studies and considering the clinical thoughts of Foerster, Schneider proposed central necrosis with hematomyelia involving the centrally located laminations of the corticospinal tract as the main pathological feature of ATCCS. In its most mild form it may result in symptoms only, including “burning hands,” as reported by Maroon et al, while the subject's neurological examination remains completely intact. – In its severe form, as it was proposed by Schneider, there is differential weakness of the upper and lower extremities and variable involvement of the sensory system and a variable impact on bladder function. RATIONALE First introduced by Thorburn in 1887 and popularized by Schneider and Taylor, the concept of ATCCS has changed significantly during the past several decades. Surgical decompression of the compressed spinal cord, particularly if the compression is focal and anterior, is recommended. Early reduction of fracture-dislocation injuries is recommended. ![]()
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