Asymmetric incomplete cord syndrome: A delayed and unusual presentation of traumatic sub-axial cervical disc prolapse

Abstract

Isolated non-osseous cervical spine injuries are rare entities and most of the algorithms (NEXUS criteria and Canadian C- spine rules) focus on ruling out osseous injuries. Discoligamentous injuries require high index of suspicion and thorough clinical examination which may not be possible in emergency department due to other distracting injuries or lack of trained personnel in the centre. We present a case of 27 years old male with an unusual presentation of a combination of upper motor neuron and lower motor neuron lesions due to traumatic disc prolapse.