Anterior Commissure Syndrome

Anterior commissure syndrome is a rare neurological disorder characterized by conduction disturbances in the anterior portions of the spinal cord.

Causes

The main cause of the development of the syndrome is inflammation, trauma, tumors or degenerative changes in the area of ​​the anterior commissure of the spinal cord. The most common reasons:

1. Multiple sclerosis
2. Acute transversal myelitis
3. Cervical spine injury
4. Tumor of the anterior commissure of the spinal cord

Symptoms

The main symptoms of anterior commissure syndrome of the spinal cord:

1. Impaired sensitivity of the lower extremities, often of the conduction type (impaired proprioception and vibration sensitivity)
2. Muscle weakness and muscle atrophy of the lower extremities
3. Pathological reflexes (Babinski's symptom)
4. Pelvic organ dysfunction (urinary retention, constipation)

Diagnosis is based on the clinical picture and MRI data of the spinal cord.

Treatment depends on the cause and includes drug therapy, physical therapy, and in some cases surgery.

The prognosis depends on the cause of the syndrome and the timeliness of treatment. With adequate therapy, partial or complete restoration of neurological functions is possible.

Anterior commissure syndrome of the spinal cord is a disorder of the spinal cord, which is characterized by the development of sensory disturbances in the limbs and ligaments. The syndrome usually occurs in people over 65 years of age who have multiple sclerosis, spinal cord injury, or neuroendocrine disorders. With anterior commissure syndrome, the functioning of certain parts of the spinal cord is disrupted: in the conus and transverse body, which can cause numbness in the fingers or toes, problems with flexion or extension of the fingers. Stiffness in movements, pinched nerves, and other unpleasant sensations may appear. Treatment involves the prescription of anti-inflammatory and painkillers, massage, physiotherapy, acupuncture and other methods of restoring the spine. If symptoms are severe and do not go away for a long time, doctors may recommend spinal surgery