CCRN Critical Care Nursing

Category - Neonatal

A 6 year old girl is brought to emergency department after having a deep stab wound on left side of her lower abdomen. On her neurological examination she has left leg paralysis and loss of pain and thermal sensation of right leg and right lower abdomen below injury. Which of following is most likely diagnosis?
  1. Anterior cord syndrome
  2. Posterior cord syndrome
  3. Lateral cord syndrome
  4. Syringomyelia
Explanation
Answer: C - Lateral cord syndrome is most likely injury. It is characterized by ipsilateral (same side) paralysis and contra lateral (opposite side) loss of pain and thermal sensation below injury. It is usually caused by hemi section of spinal cord by knife injury or fracture dislocations.
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