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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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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. |
format | Online Article Text |
id | pubmed-6213806 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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