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A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma

BACKGROUND: Brown-Sequard syndrome (BSS) is a well-known entity that is most commonly caused by a penetrating injury to the spinal cord (e.g., stab wound or gunshot wound). It is characterized by an ipsilateral weakness (damage to corticospinal tracts) and contralateral loss of pain and temperature...

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Autores principales: Kashyap, Samir, Majeed, Gohar, Lawandy, Shokry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213806/
https://www.ncbi.nlm.nih.gov/pubmed/30488011
http://dx.doi.org/10.4103/sni.sni_142_18
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author Kashyap, Samir
Majeed, Gohar
Lawandy, Shokry
author_facet Kashyap, Samir
Majeed, Gohar
Lawandy, Shokry
author_sort Kashyap, Samir
collection PubMed
description BACKGROUND: Brown-Sequard syndrome (BSS) is a well-known entity that is most commonly caused by a penetrating injury to the spinal cord (e.g., stab wound or gunshot wound). It is characterized by an ipsilateral weakness (damage to corticospinal tracts) and contralateral loss of pain and temperature two levels below the lesion (damage to lateral spinothalamic tracts). Although, rarely non-penetrating injuries, tumors, disc herniations, infections, autoimmune diseases, and epidural hematomas (non-penetrating trauma and spontaneous) have contributed to BSS syndromes, there are only four cases of BSS in the literature attributed to traumatic spinal epidural hematomas. Here, we add an additional case involving a 59-year-old male. CASE DESCRIPTION: A 59-year-old male presented with a Brown-Sequard syndrome (BSS) after a motor vehicle accident. The magnetic resonance imaging (MRI) demonstrated a cervical epidural hematoma at the C7–T1 level. Following a T1 laminectomy and C6–T1 fusion, his neurological deficit markedly improved. Within six postoperative months, he regained full motor function. CONCLUSION: For this patient and others with a traumatic cervical epidural hematoma (C7T1) resulting in a BSS, early decompression (within 48 hours) should result in marked postoperative neurological improvement.
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spelling pubmed-62138062018-11-28 A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma Kashyap, Samir Majeed, Gohar Lawandy, Shokry Surg Neurol Int Spine: Case Report BACKGROUND: Brown-Sequard syndrome (BSS) is a well-known entity that is most commonly caused by a penetrating injury to the spinal cord (e.g., stab wound or gunshot wound). It is characterized by an ipsilateral weakness (damage to corticospinal tracts) and contralateral loss of pain and temperature two levels below the lesion (damage to lateral spinothalamic tracts). Although, rarely non-penetrating injuries, tumors, disc herniations, infections, autoimmune diseases, and epidural hematomas (non-penetrating trauma and spontaneous) have contributed to BSS syndromes, there are only four cases of BSS in the literature attributed to traumatic spinal epidural hematomas. Here, we add an additional case involving a 59-year-old male. CASE DESCRIPTION: A 59-year-old male presented with a Brown-Sequard syndrome (BSS) after a motor vehicle accident. The magnetic resonance imaging (MRI) demonstrated a cervical epidural hematoma at the C7–T1 level. Following a T1 laminectomy and C6–T1 fusion, his neurological deficit markedly improved. Within six postoperative months, he regained full motor function. CONCLUSION: For this patient and others with a traumatic cervical epidural hematoma (C7T1) resulting in a BSS, early decompression (within 48 hours) should result in marked postoperative neurological improvement. Medknow Publications & Media Pvt Ltd 2018-10-23 /pmc/articles/PMC6213806/ /pubmed/30488011 http://dx.doi.org/10.4103/sni.sni_142_18 Text en Copyright: © 2018 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Spine: Case Report
Kashyap, Samir
Majeed, Gohar
Lawandy, Shokry
A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma
title A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma
title_full A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma
title_fullStr A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma
title_full_unstemmed A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma
title_short A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma
title_sort rare case of brown-sequard syndrome caused by traumatic cervical epidural hematoma
topic Spine: Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213806/
https://www.ncbi.nlm.nih.gov/pubmed/30488011
http://dx.doi.org/10.4103/sni.sni_142_18
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