Brown Sequard Syndrome

- Discussion:
    - 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:

- 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 Wednesday, April 25, 2012 2:20 pm