Management of Acute Traumatic Central Cord Syndrome (ATCCS)

Publication Date: February 28, 2013
Last Updated: March 14, 2022

RECOMMENDATIONS

Intensive care unit management of patients with acute traumatic central cord syndrome (ATCCS), particularly patients with severe neurological deficits, is recommended. (Level III, )
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Medical management, including cardiac, hemodynamic, and respiratory monitoring, and maintenance of mean arterial blood pressure at 85 to 90 mm Hg for the first week after injury to improve spinal cord perfusion is recommended. (Level III, )
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Early reduction of fracture-dislocation injuries is recommended. (Level III, )
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Surgical decompression of the compressed spinal cord, particularly if the compression is focal and anterior, is recommended. (Level III, )
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Recommendation Grading

Overview

Title

Management of Acute Traumatic Central Cord Syndrome (ATCCS)

Authoring Organization

Congress of Neurological Surgeons

Publication Month/Year

February 28, 2013

Last Updated Month/Year

April 1, 2024

Document Type

Other

Country of Publication

US

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Source Citation

Neurosurgery, Volume 72, Issue suppl_3, March 2013, Pages 195–204, https://doi.org/10.1227/NEU.0b013e318276f64b