Brown-Séquard syndrome after a gun shot wound to the cervical spine: a case report

Leven, Dante M.; Sadr, Ali; Aibinder, William R.

doi:10.1016/j.spinee.2013.06.093

Cited by 10 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The effect of its blast circumference may create a shockwave and damage adjacent structures. Cases of BSPS secondary to GSW have been reported [3,6]. However, to our knowledge, this is the first case of a BSPS accompanied by a BP after GSW.…”

Section: Introductionmentioning

confidence: 76%

“…Spinal cord syndromes are organized based on their anatomical site of injury and subsequent clinical presentation. One of these syndromes is Brown-Séquard Syndrome (BSS) which accounts for 1-4% of all the SCI, making it one of the rarest [2,3]. BSS is defined as damage to a hemisection of the spinal cord causing a characteristic pattern of symptoms consisting of 1) ipsilateral weakness (disruption of the corticospinal tract); 2) ipsilateral loss of fine touch, proprioception, and vibratory sensation (disruption of the dorsal columns); and 3) loss of pain, temperature, and crude touch on the contralateral side (disruption to the spinothalamic tract) [3].…”

Section: Introductionmentioning

confidence: 99%

“…One of these syndromes is Brown-Séquard Syndrome (BSS) which accounts for 1-4% of all the SCI, making it one of the rarest [2,3]. BSS is defined as damage to a hemisection of the spinal cord causing a characteristic pattern of symptoms consisting of 1) ipsilateral weakness (disruption of the corticospinal tract); 2) ipsilateral loss of fine touch, proprioception, and vibratory sensation (disruption of the dorsal columns); and 3) loss of pain, temperature, and crude touch on the contralateral side (disruption to the spinothalamic tract) [3]. However, it has also been described as Brown Séquard Plus Syndrome (BSPS) when the injury is incomplete and presents with loss of bladder, bowel, or eye control [4,5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Delayed diagnosis of traumatic gunshot wound Brown-Sequard-plus syndrome due to associated brachial plexopathy

Rosario-Concepción

Pérez

Jiménez

et al. 2018

Spinal Cord Ser Cases

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Delayed diagnosis of traumatic gunshot wound Brown-Sequard-plus syndrome due to associated brachial plexopathy

Rosario-Concepción

Pérez

Jiménez

et al. 2018

Spinal Cord Ser Cases

View full text Add to dashboard Cite

show abstract

“…Até o momento o tratamento ideal para SBS após trauma penetrante não foi definido [20][21][22] . A indicação cirúrgica para lesões por FAF na coluna vertebral ainda não é concisa, mas algumas indicações são descritas na literatura, a saber: deterioração clínica progressiva do paciente; migração de bala no interior do canal; possível toxicidade por cobre e chumbo; instabilidade do fragmento atingido e, como indicação absoluta, a presença de fístula liquórica [20][21][22][23][24] . Em grande parte dos casos, outrossim, na ausência das indicações descritas, opta-se por conduta conservadora visando evitar déficits iatrogênicos 25 .…”

Section: Case Reportunclassified

Síndrome de Brown-Séquard Causada por Ferimento de Arma de Fogo. Relato de caso

Pazinato

Araújo

Campos

et al. 2019

jbnc

View full text Add to dashboard Cite

A Síndrome de Brown-Séquard (SBS) é uma condição neurológica rara que se caracteriza pela hemissecção da medula espinhal e corresponde a aproximadamente 3% de todas as lesões medulares traumáticas, sendo mais comumente causada por arma branca. Clinicamente, apresenta-se com perda da motricidade voluntária ipsilateral à lesão, perda do tato discriminativo, da sensibilidade proprioceptiva e vibratória ipsilateral à lesão, e perda da sensibilidade termoalgésica contralateral à lesão. Relatamos o caso de um paciente, 42 anos, que desenvolveu SBS após sofrer ferimento por arma de fogo (FAF) em região cervical direita. A síndrome decorrente de FAF é evento incomum, por conseguinte, conhecer a semiologia neurológica e a realização de propedêutica adequada é de inestimável relevância, pois contribuem para o diagnóstico correto e para a conduta apropriada

show abstract

Spinal Cord: Anatomical Overview and Selected Pathologies

Stewart

Bydon

McGirt

et al. 2014

Encyclopedia of Life Sciences

View full text Add to dashboard Cite

The brain and the spinal cord work together to provide sensory perception and motor function to the body. These processes are accomplished by connections that occur between the brain and the peripheral nervous system through the spinal cord. Injury to the spinal cord can lead to significant deficits. Traumatic events can lead to compression, ischaemia or destruction of the spinal cord with consequential weakness, paralysis, sensory disturbances or urinary incontinence. Traumatic spinal cord injuries are classified as either complete (complete loss of motor and sensory function) or incomplete injuries (preservation of some motor or sensory function distal to the site of injury). The spinal cord can also be the site of aberrant neoplastic growth (spinal cord tumours) or immune‐modulated pathologies that lead to destruction and damage to the spinal cord (multiple sclerosis (MS)). Tumours, vascular diseases, infections, inflammatory diseases, demyelinating diseases and nutritional diseases can all result in damage to the spinal cord. Key Concepts: The vertebrae are specifically arranged to allow protection to the spinal cord as well as supporting and permitting movement of the trunk and limbs. The spinal cord is divided into distinct regions that provide innervation to different regions of the body. There are ascending sensory tracts and descending motor tracts connecting the spinal cord to the brain. These tracts are located regionally in the spinal cord according to their function, and injury to a particular region leads to symptoms that correlate with the respective function of the damaged area. Spinal cord tumours can be primary (arise from the spinal cord or its surrounding meninges) or secondary to metastatic spread. Tumours are classified according to their location relative to the dura mater, which surrounds the spinal cord. Vascular malformations result in abnormal flow of blood within the spinal cord. They often shunt blood directly between arteries and veins, bypassing the capillary network. These malformations have a propensity to bleed. If an artery providing blood to the spinal cord is blocked or occluded, spinal cord infarct or stroke ensues. Pathogens in the blood can enter the central nervous system (CNS; brain and spinal cord) and lead to infection, inflammatory response and damage to the spinal cord. Inflammatory diseases often arise idiopathically (cause unknown); some association exists between viral infections and autoimmune diseases. Demyelination of nerves and destruction of spinal cord tracts typically result and is seen in conditions such as sarcoidosis, transverse myelitis and Guillain–Barré. Autoimmune diseases result when a maladaptive immune system recognises the host tissue as foreign material and mounts an inappropriate immune response. Multiple sclerosis and acute disseminated encephalomyelitis are two disorders in which one's immune system mounts an attack against normal white matter of the CNS. Vitamin B12 is obtained through diet and is important for the formation and maintenance of the myelin sheath that surrounds neurons. Traumatic injury to the spinal cord most commonly occurs due to motor vehicle accidents and can lead to paraplegia (lower extremity paralysis) or quadriplegia (upper and lower extremity paralysis). An incomplete spinal cord injury is one in which some motor or sensory function is preserved distal to the level of injury. Treatment consists of realignment and stabilisation of the vertebral column, decompression of mass lesions and prevention of hypoxia and hypotension (preventing the spinal cord from being deprived of oxygen and blood nutrients).

show abstract

Brown-Séquard syndrome after a gun shot wound to the cervical spine: a case report

Cited by 10 publications

References 12 publications

Delayed diagnosis of traumatic gunshot wound Brown-Sequard-plus syndrome due to associated brachial plexopathy

Delayed diagnosis of traumatic gunshot wound Brown-Sequard-plus syndrome due to associated brachial plexopathy

Síndrome de Brown-Séquard Causada por Ferimento de Arma de Fogo. Relato de caso

Spinal Cord: Anatomical Overview and Selected Pathologies

Contact Info

Product

Resources

About