Brown Sequard Syndrome
- type of incomplete cord syndrome:
- injury to either side of spinal cord produces ipsilateral muscle paralysis (from corticospinal tract injury) and contralateral hypersthesia to pain and temperature
(from spinothalamic injury);
- 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 contralateral pain and temperature sensation;
- often due to penetrating trauma or unilateral facet fracture or dislocation;
- Diff Dx:
- Primary Spinal Cord Neoplasia:
- 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 Wednesday, April 25, 2012 2:20 pm