What condition is characterized by bilateral motor/sensory deficits with greater involvement of the upper extremities?

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Central cord syndrome is characterized by bilateral motor and sensory deficits that predominantly affect the upper extremities more than the lower extremities. This condition usually occurs due to damage to the central part of the spinal cord, often from conditions like cervical spondylosis or spinal cord injury. The pattern of involvement is typically upper extremity weakness combined with preserved function in the lower extremities, which distinguishes it from other syndromes.

In the context of central cord syndrome, because the central pathways responsible for the upper limb motor control are more affected than those for the lower limbs, patients often present with greater weakness and sensory loss in their arms compared to the legs. It is a common presentation in older adults who may have degenerative changes in the cervical spine, leading to this specific type of cord injury.

The other conditions mentioned have different mechanisms or patterns of neurological involvement. For instance, Brown-Sequard syndrome is characterized by unilateral motor weakness and loss of proprioception and vibratory sense on the same side as the injury, while pain and temperature sensation are lost on the opposite side. Anterior cord syndrome presents with loss of motor function and pain/temperature sensation below the level of the injury due to the damage of the anterior two-thirds of the cord, while the posterior

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