PMID: 8607086Apr 1, 1996Paper

Brown-Sequard syndrome produced by cervical disc herniation: case report and literature review

Surgical Neurology
C S Rumana, D S Baskin

Abstract

The Brown-Sequard Syndrome is most commonly described in conjunction with a traumatic injury to the spinal cord. the condition involves ipsilateral loss of motor function, proprioception, and vibratory sensation, combined with contralateral loss of pain and temperature sensation. A 56 year-old female developed left thigh discomfort and numbness. Over the next five months, this spread to involve her left leg and chest to the axilla. Physical examination revealed myelopathy. Also present were motor, proprioceptive, and vibratory deficits in the right leg. A left sensory level to T2 was present. An MRI scan showed a large right cervical herniated disc with unilateral spinal cord compression. Following anterior cervical discectomy and fusion, the patient's symptoms have steadily improved. The Brown-Sequard Syndrome can be caused by a herniated cervical disc. MRI scans should be employed early in the diagnostic evaluation of such patients, particularly in the absence of penetrating trauma or other obvious causes of the syndrome.

Citations

Feb 18, 2005·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·Kyung-Jin Song, Kwang-Bok Lee
Nov 12, 2003·The Spine Journal : Official Journal of the North American Spine Society·Nobusuke KobayashiHiroyuki Sugiyama
Jan 15, 2004·Spine·Luciano Mastronardi, Andrea Ruggeri
Jul 22, 2010·Internal Medicine·Yoshikazu TamoriMasaharu Tsutsumi
Apr 15, 2011·Emergency Medicine Australasia : EMA·Paul Musker, Ginette Musker
Aug 1, 1997·Emergency Medicine Clinics of North America·R Wagner, A Jagoda
Apr 26, 2000·Journal of Spinal Disorders·Y Mirovsky, N Halperin

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