Brown-Sèquard syndrome produced by C3-C4 cervical disc herniation: a case report and review of the literature

Spine
Faisal T SayerChristopher R Honey

Abstract

The article presents a case in which Brown-Sèquard syndrome resulted from a painless C3-C4 disc herniation. To raise spinal surgeons' awareness of this unusual clinical problem. Brown-Sèquard syndrome involves ipsilateral loss of motor function combined with contralateral loss of pain and temperature sensation. Brown-Sèquard syndrome is commonly seen in the setting of spinal trauma or an extramedullary spinal neoplasm, but rarely it can be caused by a herniated cervical disc. A 46-year-old man presented with progressive numbness and weakness in the left arm, mild neck pain, and reduced temperature sensation on the right side of the body. There was weakness in left arm and leg and proximal right lower limb. Magnetic resonance imaging showed large C3-C4 disc herniation compressing the spinal cord at that level. Anterior cervical discectomy and fusion with iliac crest bone graft was performed. Follow-up showed complete resolution of the neck pain, normal sensory function, and complete recovery of motor power in the left upper and right lower limb. There was a slight residual weakness in the left leg. Brown-Sèquard syndrome is rarely caused by a cervical disc herniation. This etiology may be underdiagnosed but has a more favorable ...Continue Reading

References

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Citations

Jun 16, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Julio Urrutia, Ricardo Fadic
Sep 14, 2012·Neurocritical Care·Oliver FlowerWade S Smith
Jun 30, 2012·Journal of Medical Case Reports·Jacky T YeungAftab S Karim
Aug 7, 2012·Journal of Neurosciences in Rural Practice·Kunio YokoyamaToshihiko Kuroiwa
Jan 1, 2011·Case Reports in Orthopedics·Tarush RustagiAseem N Parekh
Jun 12, 2009·Journal of Korean Neurosurgical Society·Jong-Tae KimYoung-Sup Park
Sep 17, 2017·Neurocritical Care·Anna Finley CaulfieldShahana Uddin
Jan 6, 2017·Spinal Cord Series and Cases·Yake MengYongfei Guo
Oct 7, 2015·Neurocritical Care·Oliver FlowerAnna Finley Caulfield
Nov 14, 2019·Korean Journal of Neurotrauma·Shin-Jae KimSang-Ha Shin

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