Brown Sequard Syndrome

- Discussion: 
- type of incomplete cord syndrome
- injury to either side of spinal cord produces ipsilateral muscle paralysis and contralateral hypersthesia to pain and temperature; 
- syndrome results from hemitransection of spinal cord w/ unilateral damage to the spinothalamic & corticospinal tracts and resultant
         loss of ipsilateral motor & dorsal column function & of contra- lateral pain and temperature sensation; 
- common injury mechanisms include penetrating trauma or unilateral facet fracture or dislocation; 
- Diff Dx: 
- Primary Spinal Cord Neoplasia: 
- Prognosis: 
- this syndrome has a good prognosis for recovery; 
- more than 90% of pts regain bladder & bowel control & ability to walk; 
- most patients will regain some strength in lower extremities and most will regain functional walking ability

Blunt cervical spine Brown-Séquard injury. A report of three cases.

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, October 31, 2017 7:00 am