Central Cord Syndrome almost always occurs due to trauma and is the most common incomplete spinal cord injury.   There is a disproportionate impairment which is greater in the upper extremity than the lower and is accompanied by bladder dysfunction.  There will be varying forms of sensory deficits below the level of the injury and the presentation is very variable and may correspond to the injury of the nerve root.

Central Cord Syndrome was initially described by Scheider et al in 1954.  This problem is generally found in older individuals with extension injuries but can be found at any age and is associated with various injury mechanisms and etiologies.

Ameer, M. A., Stobart Gallagher, M. A., & Gillis, C. C. (2020). Central Cord Syndrome. StatPearls. StatPearls Publishing. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/28722961

McCartney, S., Blagg, S., Baskerville, R., & McCartney, D. (2018). Cervical radiculopathy and cervical myelopathy: Diagnosis and management in primary care. British Journal of General Practice, 68(666), 44–46. https://doi.org/10.3399/bjgp17X694361

Question:  How would you have approached the treatment of this patient?