19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

Central cord syndrome

Central cord syndrome, also called Schneider syndrome, occurs as a result of a trauma in the cervical region of the spine, especially in relation to hyperextension movements such as those produced when falling down the stairs, or in a motorcycle accident.

It affects the central grey matter and spinothalamic tracts that cross in the medullary centre.
The lesion can start in the centre and then extend in a centrifugal way, reaching other anatomical pathways, not only those located in the medullary centre.


What are the symptoms?

Depending on the magnitude of the trauma, it can appear from paresis (muscular weakness caused by nerve damage; partial paralysis) of the upper limbs, conserving the functionality of the lower limbs, up to a tetraparesis (decreased mobility in the four limbs) predominantly in the upper limbs.


Sensitive alteration:

• Loss of painful and thermal sensitivity.

• Proprioceptive and vibratory sensitivity: The two modalities of deep sensitivity as well as tactile sensitivity are preserved intact.


Motor dysfunction:

It will appear later if a specific part of the cervical spine is affected.

  • Hyporeflexia: It refers to below normal or absent reflexes.
  • Weakness.
  • Fasciculations (also known as muscle twitch): It is a small, local, involuntary muscle contraction and relaxation which can be visible under the skin.



This syndrome is typical of elderly people. The prognosis depends on many factors. For instance, people whose syndrome was occasionated by trauma, have a certain recovery of neurological function. If a person receives timely medical attention can get better outcomes.

Improvement can occur progressively. However, younger people recover faster than third age patients.



Unfortunately, there is no cure for this syndrome. Nevertheless, some people recuperate near-normal function. Doctors resort to drug therapy, surgery, and rest.

Specialists consider surgery especially when they want to prevent further damage to the spinal cord. This surgical intervention has demonstrated to be effective in people with persistent compression of the spinal cord and neurological deterioration. Also, it increases the chance of recovery.

Our treatments

At The London Spine Unit, The Harley Street Hospital, we have some of the best specialists to diagnose and treat this disease. Book an appointment to get a check up.


Share to care...

Share on facebook
Share on twitter
Share on pinterest
Share on google
Share on linkedin
Share on skype

What we do...

The Harley Street Hospital


What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......