中央脊髓综合征(CCS)大多发生于伴有脊椎关节炎症改变的中年人。儿童脊髓损伤多由严重创伤所引起。而轻微创伤后发生CCS则非常少见,以往仅报道过8例,本文在此报告一例为七岁女孩。该患儿因突发呼吸困难被收入急诊室。她在入院当日曾头顶地倒立数次而均未跌倒。2～3小时后突感上胸背部疼痛和双下肢无力,随后出现呕吐。除倒立外无外伤病史。入院时患儿全身青紫,并呼吸暂停。立即采取包括气管插管在内的复苏术使其恢复了意识,但仍有呼吸暂停,并出现四肢瘫痪。查体未见外伤的外部证据。腱反射双下肢亢进,双上肢减弱。肌张力双下肢增高,双上肢降低。颈部X线检查及CT脊髓造影均无异常发现。脑脊液压力及化验均正常。患儿处于呼吸暂停状态达2周。 Central Spinal Cord Syndrome (CCS) occurs mostly in middle-aged people with altered spondyloarthritis. Spinal cord injury in children and more caused by severe trauma. CCS after minor trauma is very rare in the past only reported in 8 cases, this article in this report a case of seven-year-old girl. The child was admitted to the emergency room for sudden breathlessness. She had been upside down several times on the day of admission without falling. 2 to 3 hours after the sudden onset of upper back pain and lower limb weakness, followed by vomiting. In addition to the history of external injury without injury. Children admitted to hospital bruising, and breathing pauses. Immediate resuscitation including tracheal intubation regained consciousness, but apnea remained with paralyzed limbs. Physical examination showed no external evidence of trauma. Tendon reflex double lower limb hyperthyroidism, both upper extremity weakened. Muscle tension increased lower limbs, lower extremities. Neck X-ray examination and CT myelography no abnormal findings. Cerebrospinal fluid pressure and laboratory tests were normal. The child is in apnea for up to 2 weeks.