Brown-Sequard syndrome is an uncommon complication of atlantoaxial arthrodesis. A 50-year-old female visited our emergency department after falling from a ladder. Radiologic evaluations revealed chronic C1-2 instability with acute spinal cord injury. The day after atlantoaxial fusion was performed, she developed left-sided motor weakness and the loss of right-sided pain and temperature sensation. Based on physical examination and radiologic findings, we diagnosed her as having Brown-Sequard syndrome. Spine surgeons performing this procedure should therefore consider Brown-Sequard syndrome if a patient displays signs of postoperative hemiplegia.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136337PMC
http://dx.doi.org/10.1016/j.aott.2017.11.005DOI Listing

Publication Analysis

Top Keywords

brown-sequard syndrome
16
brown-sequard
4
syndrome caused
4
caused hyperextension
4
hyperextension patient
4
patient atlantoaxial
4
atlantoaxial subluxation
4
subluxation odontoideum
4
odontoideum brown-sequard
4
syndrome uncommon
4

Similar Publications

Thoracic endovascular aortic repair (TEVAR) in a combined penetrating thoracic aortic and spinal cord injury.

J Surg Case Rep

January 2025

Department of Trauma Surgery, University of the Witwatersrand, Floor 7, Charlotte Maxeke Johannesburg Academic Hospital, 17 Jubilee Rd, Parktown, Johannesburg, South Africa.

Endovascular repair of aortic injuries secondary to blunt trauma has been widely described. However, literature on endovascular management in penetrating aortic injuries is scarce. The patient in this case report, a victim of penetrating thoracic aortic trauma, presented 5 days after injury with Brown-Sequard syndrome and a contained aortic injury (pseudoaneurysm) and was haemodynamically stable.

View Article and Find Full Text PDF

Background: Brown-Séquard syndrome (BSS) is a rare neurological condition characterized by injury to one-half of the spinal cord. In the context of trauma, BSS is typically seen with penetrating injuries. Here, the authors present the unique case of a patient presenting with BSS after blunt trauma.

View Article and Find Full Text PDF

[Not Available].

Ugeskr Laeger

September 2024

Afdeling for Hjerne- og Rygmarvsskader, Neurocentret, Københavns Universitetshospital - Rigshospitalet.

Spinal cord infarction is an infrequent event, and the occurrence of Brown-Séquard syndrome resulting from spinal cord infarction is even rarer. In this case report, a 55-year-old woman presented with sudden onset of back pain and a right-sided Brown-Séquard syndrome. MRI of the spinal cord revealed acute infarction in the right posterior spinal artery at Th5-Th10.

View Article and Find Full Text PDF
Article Synopsis
  • The study retrospectively analyzed 48 patients diagnosed with idiopathic spinal cord herniation (ISCH) at a tertiary care hospital in Québec, Canada, aiming to describe patient characteristics and clinical outcomes.
  • Most patients (69%) were found to be asymptomatic at diagnosis, with the average age being 52.5 years; the main symptom for those who were symptomatic was a specific neurological condition resembling Brown-Séquard syndrome.
  • The follow-up duration was around 51-56 months, revealing that most patients remained stable without progression, suggesting that conservative management may be suitable for some asymptomatic cases of ISCH.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!