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Brown Sequard Syndrome

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Partial spinal sensory syndrome or Brown-sequard syndrome is an incomplete lesion of the spinal cord leading to ipsilateral upper motor neuron paralysis and loss of proprioception with contra lateral loss of pain and temperature sensation.

 

It is also known as Brown-sequard plus syndrome, hemi section of the spinal cord, hemi section syndrome, partial spinal sensory syndrome

Partial spinal sensory syndrome or Brown-sequard syndrome

Causes of Brown-sequard syndrome

  • Tumors
  • Multiple sclerosis
  • Disk herniation
  • Epidural hematoma
  • Vertebral artery dissection
  • Transverse myelitis
  • Radiation
  • Herniation of the spinal cord through a dural defect
  • Intravenous drug use
  • Tuberculosis
  • Ossification of the ligamentum flavum 

Diagnosis:

  • Clinical history
  • Physical examaintion
  • Motor examaintion reveals spastic weakness or paralysis with upper motor neuron signs of increased tone, increased reflexes, clonus and Hoffman signs on one side of the body.

Complications

  • Pulmonary infections and respiratory insufficiency
  • Uncontrolled autonomic dysreflexia
  • Bowel impaction
  • Urinary tract infections
  • Pressure ulcers

Treatment:

  • Physical therapy
  • Occupational therapy
  • Recreational therapy
  • Surgical interventions
  • Corticosteroids

 

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