title: Near-Miss Discharge of an Older Adult Male With Central Cord Syndrome.
abstract: Acute traumatic central cord syndrome (ATCCS) occurs in more than 11,000 individuals annually. A common cause in older adult is a low-velocity hypertension neck injury. This article reviews ATCCS from the perspective of an older adult who, after a fall at his primary residence, sustained a facial laceration. Just prior to discharge, neurological deficits were noted, which required further investigation with magnetic resonance imaging. Subsequently, the findings required emergent surgical intervention. Emergency nurses should be familiar with muscle assessment, deep tendon reflex assessment, and nervous system dermatomes. The value of repeating the physical examination prior to discharge is discussed.
authors.affiliation: College of Graduate Nursing, Western University of the Health Sciences, Pomona, California (Mr Martin and Dr Hicks); and Methodist Richardson Medical Center, Richardson, Texas (Mr Martin).
authors.forename: Kyle L
authors.initials: KL
authors.lastname: Martin
authors.forename: Rodney W
authors.initials: RW
authors.lastname: Hicks
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D020210:Central Cord Syndrome / Q000175:diagnosis* / Q000601:surgery; D002574:Cervical Vertebrae; D006801:Humans; D008297:Male; D010351:Patient Discharge