Episode17: Posterior Cord Syndrome
Notes by Alexis Lancaster, SPT
What is it?

Damage to the posterior cord itself
Occlusion of posterior spinal artery
Very rare

 
Differential diagnosis

Any of the other spinal cord syndromes (anterior/brown sequard/central cord)

 
Clinical presentation

Isolated loss of proprioception, vibration, & discriminative touch

 
Special tests

Clinical presentation stated above
CT/MRI for confirmation

 
Treatment

ICF model
Medical management
Bowel/bladder program
Motor learning
Task-specific training
Weight-bearing
Neuromuscular re-education
Tone management
FES
Aerobic training
Positioning
Bracing/splinting
Locomotion
Keeping an eye on shoulder pain
Allow compensation in this population

 
Sample question

Identification of the mechanism of injury related to this condition
Identification of clinical presentation