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Brown-Séquard syndrome caused by blunt cervical trauma with radiographic correlation
Author(s) -
David Z. Cai,
Geoffrey Liu,
Christopher F. Wolf,
Zachary M Mansell,
Jonathan P. Eskander,
Mark S. Eskander
Publication year - 2018
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/1793-5482.224833
Subject(s) - medicine , spinal cord , magnetic resonance imaging , blunt , burst fracture , cord , spinal cord injury , surgery , anatomy , radiology , psychiatry
Brown-Séquard syndrome, while uncommon, is a neurological condition that classically results from the hemisection of the spinal cord as a result of a penetrating injury to the spinal cord. We present a reported case of blunt trauma causing a high-energy cervical burst fracture/dislocation with a significant cord signal change producing Brown-Séquard syndrome. In this case, the burst fracture at the level of C5 obtained from the motor vehicle accident led to the damage of the left-sided lateral spinal thalamic tract, descending lateral cortical spinal tracts, and ascending dorsal column. This is a unique case of blunt nonpenetrating trauma leading to a high-energy cervical burst fracture/dislocation causing significant cord signal change on T2-weighted magnetic resonance imaging (MRI). These physical changes produced symptoms of neurologic impairment commonly seen in those patients with Brown-Séquard syndrome.

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