{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T22:02:48Z","timestamp":1764194568186},"reference-count":35,"publisher":"Hogrefe Publishing Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p> Zusammenfassung. Das akute traumatische Central-Cord-Syndrom (ATCCS) stellt eine R\u00fcckenmarkverletzung mit unverh\u00e4ltnism\u00e4ssig st\u00e4rkerer motorischer Beeintr\u00e4chtigung der oberen als der unteren Extremit\u00e4ten, Blasenfunktionsst\u00f6rung und unterschiedlich starkem sensorischem Verlust unterhalb des Niveaus der L\u00e4sion dar. Der Mechanismus des ATCCS ist am h\u00e4ufigsten eine traumatische Hyperextensionsverletzung der Halswirbels\u00e4ule auf dem Boden einer zugrunde liegenden Spondylose und Spinalkanalstenose. Das mittlere Alter betr\u00e4gt 53 Jahre, und am h\u00e4ufigsten sind die Segmente C4\u2013Th1 betroffen. Neben Anamnese und klinischer Untersuchung wird die definitive Diagnose mittels Magnetresonanztomografie gestellt. Hierbei zeigt sich typischerweise eine T2-hyperintense L\u00e4sion im betroffenen R\u00fcckenmarkssegment. Eine chirurgische Dekompression (und Fusion) des betroffenen Segments ist sinnvoll, um erneuten Traumata des R\u00fcckenmarks und einer Progredienz der klinischen Symptome vorzubeugen. Patientinnen und Patienten, die an einem ATCCS erkranken und entsprechend behandelt wurden, haben in der Regel eine gute Prognose. <\/jats:p>","DOI":"10.1024\/1661-8157\/a003659","type":"journal-article","created":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T07:06:29Z","timestamp":1619593589000},"page":"324-335","source":"Crossref","is-referenced-by-count":4,"title":["Akutes traumatisches Central-Cord-Syndrom: \u00c4tiologie,                     Pathophysiologie, klinische Manifestation und Behandlung"],"prefix":"10.1024","volume":"110","author":[{"given":"Lazar","family":"Tosic","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Neurochirurgie, Universit\u00e4tsspital Z\u00fcrich, Z\u00fcrich"},{"name":"Klinisches Neurozentrum, Universit\u00e4t Z\u00fcrich, Z\u00fcrich"},{"name":"Interdisziplin\u00e4res Wirbels\u00e4ulenzentrum, Universit\u00e4tsspital Z\u00fcrich,                     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