Brown-Séquard syndrome due to cervical disc herniation
Keywords:
Brown-Séquard syndrome, spine, cervical cord, disc herniation.Abstract
Introduction: Brown-Séquard syndrome accounts for 1 to 4 % of all spinal cord injuries, very infrequent. It involves the lateral half of the spinal cord and the structures and/or functions of the dorsal segment, the corticospinal tract and the spinothalamic tract are unilaterally affected.Objective: To show an atypical presentation of cervical disc herniation in a young female patient with no history of trauma or physical exertion.
Clinical case: A 24-year-old female patient presented with a progressive decrease in muscle strength on the left side of the limbs, with difficulty in walking, as well as moderate cervical pain. She was diagnosed with a cervical disc herniation and surgical treatment was performed with satisfactory evolution.
Conclusions: In Brown-Séquard Syndrome caused by cervical disc disease, timely treatment is essential for rapid improvement of symptoms; physiotherapy and rehabilitation play a key role in motor recovery.
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References
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3. Zeng Y, Ren H, Wan J, Lu J, Zhong F, Deng S. Cervical disc herniation causing Brown-Sequard syndrome. Case report and review of literature (CARE-compliant). Medicine. 2018 [acceso: 19/05/2021]; 97(37): [aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156073/pdf/medi-97-e12377.pdf
4. Astreinidis A, Finitsis S, Mavropoulou X, Psoma E, Prassopoulos P. Acute Partial Brown-Séquard Syndrome Secondary to Intraforaminal Disc Prolapse and Spinal Cord Infarction. Case Reports in Neurological Medicine. 2019 [acceso: 10/05/2021]; 1: 7987038. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778944/pdf/CRINM2019798-7038.pdf
5. Nelson K, Chu E, Abi-Jaoudeh N. Case of Brown Sequard syndrome with ipsilateral peripheral vasodilation. Radiology Case Report. 2020 [acceso: 24/05/2021]; 15: [aprox. 3 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327124/pdf/main.pdf
6. Meng YY, Dou L, Wang ChM, Kong DZ, Wei Y, Wu LS, et al. Spinal cord infarction presenting as Brown-Séquard syndrome from spontaneous vertebral artery dissection: a case report and literature review. BMC Neurology. 2019 [acceso: 24/05/2021]; 19(321): [aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907223/pdf/12883_2019-_Article_1559.pdf
7. Cai DZ, Liu G, Wolf ChF, Mansell ZM, Eskander JP, Eskander M. Síndrome de Brown-Séquard causado por traumatismo cervical cerrado con correlación radiográfica. Asian J Neurosurg . 2018 [acceso: 24/05/2021]; 13(1): 130-2. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820868/
8. Kim SJ, Lee SH, Bae J, Shin SH. Brown-Séquard Syndrome Caused by Acute Traumatic Cervical Disc Herniation. Korean J Neurotrauma. 2019 [acceso: 24/05/2021]; 15(2): [aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826085/pdf/kjn-15-204.pdf
9. Ding Q, Yu L. Spontaneous Cervical Intradural Disc Herniation Presenting withBrown-Sequard Syndrome at C6-C7 level. Journal of Orthopaedic Case Reports. 2019 [acceso: 10/05/2021]; 9(2): [aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727451/pdf/JOCR-9-30.pdf
10. Sato M, Kuriyama A, Ryo Ohtomo R. Unilateral loss of thoracic motion after blunt trauma: a sign of acute Brown-Séquard syndrome.Clin Exp Emerg Med. 2019 [acceso: 10/05/2021]; 6(3): [aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774002/pdf/ceem-19-010.pdf
Published
2022-06-25
How to Cite
1.
Figueredo Acosta H, Torres de los Rios DM. Brown-Séquard syndrome due to cervical disc herniation. Rev Cubana Med Milit [Internet]. 2022 Jun. 25 [cited 2025 Apr. 3];51(3):e02201791. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1791
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