Chong tu l tnh trng nh tr chc nng thn kinh, do thay i sinh l hn l thng tn gii phu.

Chong tu xy ra ngay sau chn thng, c hnh nh lm sng nh tn thng tu hon ton. 99% cc trng hp chong tu qua i 24gi sau chn thng. Phn cn li c th ko di vi gi, vi ngy hoc vi tun. Chn on phn bit gia chong tu v tn thng tu hon ton da vo phn x hnh hang (bulbocarvernosus reflex) Hnh thi lm sng ca tn thng tu khng hon ton rt thay i , 90% trng hp c th biu hin bng mt trong bn hi chng sau : a. Hi chng tu trung tm: - Thng gp nht. - Xy ra ngi trung nin c thoi ho ct sng c. - C ch nga c lm cho tu b chn gia gai xng hoc thn t pha trc v nt phnh (buckling) ca dy chng vng pha sau. - GPB : tn thng trung tm tu nhiu hn ngoi vi tu - Lm sng: Lit vn ng tay nng hn chn. - Tin lng : Trn 50% phc hi tiu tiu v i li. b. Hi chng Brown-Sequard: - C ch : gy bng sng, chn cung mt bn hoc bn trt . - GPB :Tn thng na tu. - Lm sng: Lit vn ng cng bn tn thng, Ri lon cm gic nng i bn tn thng. Ri lon cm gic su cng bn tn thng. - Tin lng : tt, trn 90% phc hi c vng v i li c. c. Hi chng tu trc: - C ch : gp c, xng gy hoc a m chn t pha trc. - GPB : Tn thng na phn tu trc. - Lm sng : Lit hon ton vn ng v cm gic au nhit (nng). Cn cm gic su ( cm gic t th, cm gic rung) - Tin lng phc hi km.

d. Hi chng tu sau : - C ch nga, tn thng phn sau ca tu. - Lm sng :Ri lon cm gic su.Vn ng v cm gic nng bnh thng. - Him xy ra. Hi chng phi hp( mix syndrome) C khong 10% trng hp l phi hp cc hi chng trn.