Spontaneous Cervical Epidural Hematoma Presenting as Brown-Sequard Syndrome Following Repetitive Korean Traditional Deep Bows

Seon, Hyo-Jeong; Song, Min-Keun; Han, Jae‐Young; Choi, In-Sung; Lee, Sam-Gyu

doi:10.5535/arm.2013.37.1.123

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…But in contrast, Mal et al . observed the Brown-Sequard's syndrome,[ 13 19 ] following three episodes of spinal cord complications, which regressed after 4 months without sequelae; paraparesis with spontaneous regression after 2 weeks; and complete paraplegia without regression. The complications occurred despite good, selective catheterization of the bronchial artery.…”

Section: Discussionmentioning

confidence: 99%

Bronchial Artery Embolization for Hemoptysis

Shao

et al. 2015

Chinese Medical Journal

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Background:Hemoptysis is a significant clinical entity with high morbidity and potential mortality. Both medical management (in terms of resuscitation and bronchoscopic interventions) and surgery have severe limitations in these patients population. Bronchial artery embolization (BAE) represents the first-line treatment for hemoptysis. This article discusses clinical analysis, embolization approach, outcomes and complications of BAE for the treatment of hemoptysis.Methods:A retrospective analysis of 344 cases, who underwent bronchial arteriography at Tianjin Haihe Hospital between 2006 and 2013. Several aspects of outcome were analyzed: Demographics, clinical presentation, radiographic studies, results, complications and follow-up of BAE.Results:Three hundred and forty-four consecutive patients underwent bronchial arteriography, 336 of 344 patients (97.7%) performed BAE; there were 1530 coils for 920 arteries embolized; the main responsible sources for bleeding were right bronchial artery (29.7%), left bronchial artery (21.6%), combined right and left bronchial trunk (18.4%), right intercostal arteries (13.3%); 61 patients (17.7%) had recurrent hemoptysis within 1 month after undergoing BAE, 74 patients (21.5%) had recurrent hemoptysis over 1 month after undergoing BAE; The common complications of BAE included subintimal dissection, arterial perforation by a guide wire, fever, chest pain, dyspnea, etc. The follow-up was completed in 248 patients, 28 patients had been dead, 21 patients still bleed, 92 patients had lost to follow-up.Conclusions:The technique of BAE is a relatively safe and effective method for controlling hemoptysis. The complications of BAE are rare. Although the long-term outcome in some patients is not good, BAE may be the only life-saving treatment option in patients who are poor surgical candidates.

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Section: Discussionmentioning

confidence: 99%

Bronchial Artery Embolization for Hemoptysis

Shao

et al. 2015

Chinese Medical Journal

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“…[ 2 ] Non-penetrating injures causing BSS are exceedingly rare along with other infrequently encountered etiologies of BSS; tumors,[ 5 ] disc herniations,[ 8 ] infections, autoimmune diseases, and epidural hematomas. [ 5 7 13 18 20 21 ] To date, there were only four case reports in the literature of BSS caused by a traumatic spinal epidural hematoma. [ 2 3 22 ] Early detection with computed tomography (CT) and MRI resulting in rapid surgical decompression/hematoma evacuation, resulted typically in improved neurological outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…[ 2 3 22 ] Early detection with computed tomography (CT) and MRI resulting in rapid surgical decompression/hematoma evacuation, resulted typically in improved neurological outcomes. [ 6 7 10 11 20 ]…”

Section: Introductionmentioning

confidence: 99%

A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma

Kashyap¹,

Majeed²,

Lawandy³

2018

Surg Neurol Int

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Background:Brown-Sequard syndrome (BSS) is a well-known entity that is most commonly caused by a penetrating injury to the spinal cord (e.g., stab wound or gunshot wound). It is characterized by an ipsilateral weakness (damage to corticospinal tracts) and contralateral loss of pain and temperature two levels below the lesion (damage to lateral spinothalamic tracts). Although, rarely non-penetrating injuries, tumors, disc herniations, infections, autoimmune diseases, and epidural hematomas (non-penetrating trauma and spontaneous) have contributed to BSS syndromes, there are only four cases of BSS in the literature attributed to traumatic spinal epidural hematomas. Here, we add an additional case involving a 59-year-old male.Case Description:A 59-year-old male presented with a Brown-Sequard syndrome (BSS) after a motor vehicle accident. The magnetic resonance imaging (MRI) demonstrated a cervical epidural hematoma at the C7–T1 level. Following a T1 laminectomy and C6–T1 fusion, his neurological deficit markedly improved. Within six postoperative months, he regained full motor function.Conclusion:For this patient and others with a traumatic cervical epidural hematoma (C7T1) resulting in a BSS, early decompression (within 48 hours) should result in marked postoperative neurological improvement.

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“…SCEH, cervical disc inflammation, tumours, cervical spinal canal stenosis, extradural primary or metastatic tumours and vascular malformation may lead to BSS via the mass effect; however, the clinical profile may be confused with ischemic stroke because of the symptom of hemiparesis. 1 , 8 , 9 , 10 , 11 Ischemic stroke cases often present with accompanying clinical symptoms, depending on the affected cerebral region. Changes in consciousness, speech disorders and impaired vision, albeit temporary in nature, can be seen with hemiparesis.…”

Section: Discussionmentioning

confidence: 99%

“… 15 However, in 40% of the patients with such hemorrhages, no etiology can be identified, and they are classified as having idiopathic SCEH. 10 , 13 , 14 , 15 The vascular vulnerability may be responsible. 13 These heamorrhage often form at the cervicothoracic junction.…”

Section: Discussionmentioning

confidence: 99%

Controversies in the differential diagnosis of Brown-Sequard syndrome due to cervical spinal disease from stroke: A case series

Köksal

Yavaşı

2017

Turkish Journal of Emergency Medicine

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Stroke is generally considered to be the first preliminary diagnosis in patients presenting with acute hemiparesia in the emergency department. But rarely in unexpected spontaneous neurological pathologies that may lead to hemiparesis. The data from 8 non-traumatic patients who underwent surgical treatment for brown-sequard syndrome (BSS) were reviewed retrospectively. All patients were initially misdiagnosed with strokes. Two of the patients had spinal canal stenosis, two had spinal epidural hematomas, one had an ossified herniated disc and three had soft herniated discs. None of the patients complained of significant pain at the initial presentation. All of the patients had a mild sensory deficit that was initially unrecognized. The pain of the patients began to become evident after hospitalization and, patients transferred to neurosurgery department. Cervical spinal pathologies compressing the corticospinal tract in one-half of the cervical spinal canal may present with only hemiparesis, without neck and radicular pain. If it's too late, permanent neurological damage may become inevitable while it is a correctable pathology.

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Spontaneous Cervical Epidural Hematoma Presenting as Brown-Sequard Syndrome Following Repetitive Korean Traditional Deep Bows

Cited by 6 publications

References 9 publications

Bronchial Artery Embolization for Hemoptysis

Bronchial Artery Embolization for Hemoptysis

A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma

Controversies in the differential diagnosis of Brown-Sequard syndrome due to cervical spinal disease from stroke: A case series

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