How is spasticity managed in central cord syndrome (CCS)?

Updated: May 21, 2020
  • Author: Michelle J Alpert, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Spasticity

  • Initially, reflexes are depressed, but once the period of spinal shock resolves, patients may experience increased spasticity in the upper and lower extremities.

  • Skillful nursing care can reduce the nociceptive and exteroceptive stimuli that exacerbate hypertonia.

  • Proper bed positioning and a regular stretching program are essential to spasticity reduction and contracture prevention.

  • Consider a trial of medication if spasms begin to cause discomfort, interfere with sleep, or cause functional impairment.

  • Lioresal (baclofen) is the initial drug of choice for spasticity.


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