مريض بعد سقوط على وجهه مع فرط بسط الرقبة، صار عنده ضعف في الذراعين أكثر بكثير من الرجلين. ما المتلازمة الأرجح؟

After a fall onto his face with neck hyperextension, a client has much more weakness in the arms than the legs. Which syndrome is most likely?

1. Anterior cord syndrome
2. Central cord syndrome
3. Brown-Séquard syndrome
4. Cauda equina syndrome

Answer: B) Central cord syndrome. Central cord syndrome typically follows neck hyperextension in older adults, causing greater arm than leg weakness because arm fibres lie closer to the cord centre.