Management of Acute Traumatic Central Cord Syndrome (ATCCS)
Publication Date: March 1, 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
March 1, 2013
Last Updated Month/Year
March 16, 2023
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