Radiographic and intraoperative imaging of a hemisection of the spinal cord resulting in a pure Brown-Séquard syndrome: case report and review of the literature

B J Dlouhy; N S Dahdaleh; M A Howard III

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Radiographic and intraoperative imaging of a hemisection of the spinal cord resulting in a pure Brown-Séquard syndrome: case report and review of the literature

Journal article

Peer reviewed

Radiographic and intraoperative imaging of a hemisection of the spinal cord resulting in a pure Brown-Séquard syndrome: case report and review of the literature

B J Dlouhy, N S Dahdaleh and M A Howard III

Journal of neurosurgical sciences, Vol.57(1), pp.81-86

03/2013

PMID: 23584224

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Abstract

Brown-Séquard plus syndrome (BSPS) or incomplete spinal cord injuries from stab injury have been widely reported. However, only four detailed cases of pure Brown-Séquard syndrome (BSS) from stab injury have been previously reported. Here we present the case of an 18-year-old man who sustained a penetrating knife stab injury to the right side of his back resulting in a pure Brown-Séquard syndrome with left lower extremity hemiplegia. Imaging revealed right-sided soft tissue and ligamentous damage traveling in a right-to-left fashion as well as left-sided T2-weighted MRI cord signal change at the level of T9. Given concern for a cerebrospinal fluid leak (CSF) leak, the patient was taken for wound exploration, irrigation, laminectomy, dural closure and lumbar drain placement. At three years follow up, the patient was almost full strength. This is the first case in the literature demonstrating radiographic and correlative intraoperative imaging of a hemisection of the spinal cord resulting in a pure Brown-Séquard syndrome.

Magnetic Resonance Imaging

Thoracic Vertebrae - diagnostic imaging

Brown-Sequard Syndrome - surgery

Humans

Spinal Cord Injuries - etiology

Spinal Cord Injuries - surgery

Male

Tomography, X-Ray Computed

Treatment Outcome

Wounds, Stab - complications

Wounds, Stab - diagnostic imaging

Thoracic Vertebrae - surgery

Brown-Sequard Syndrome - diagnostic imaging

Spinal Cord Injuries - diagnostic imaging

Adolescent

Laminectomy - methods

Brown-Sequard Syndrome - physiopathology

Wounds, Stab - surgery

Thoracic Vertebrae - injuries

Details

Title: Subtitle: Radiographic and intraoperative imaging of a hemisection of the spinal cord resulting in a pure Brown-Séquard syndrome: case report and review of the literature
Creators: B J Dlouhy - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. brian-dlouhy@uiowa.edu
N S Dahdaleh
M A Howard III
Resource Type: Journal article
Publication Details: Journal of neurosurgical sciences, Vol.57(1), pp.81-86
Publisher: Italy
PMID: 23584224
ISSN: 0390-5616
eISSN: 1827-1855
Language: English
Date published: 03/2013
Academic Unit: Neurology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
Record Identifier: 9984020715702771

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