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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

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.