Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction.

Abstract:

STUDY DESIGN:Case report of a 21-year-old man that had concurrence of Brown-Sequard syndrome and Horner's syndrome after a penetrating trauma in the neck. OBJECTIVES:This report analyzes the location of lesions that cause a combination of Horner's and Brown-Sequard syndrome. It is important to know the anatomic structure of spinal cord and the sympathetic nerve chain. SETTING:Spinal Cord Unit, Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Instituto Oftalmologico de Alicante, Alicante, Spain. METHODS:Description of a single patient case report. RESULTS:The clinical findings and MRI showed a good correlation. The Horner's syndrome was confirmed with a 4% cocaine test. The patient received a conservative treatment with high-dose steroid therapy (NASCIS-3). CONCLUSION:The patient presented with Brown-Sequard syndrome and Horner's syndrome. Clinical examination and MRI made a quick and correct diagnosis. The patient recovered completely after the conservative treatment.

journal_name

Spinal Cord

journal_title

Spinal cord

authors

García-Manzanares MD,Belda-Sanchis JI,Giner-Pascual M,Miguel-Leon I,Delgado-Calvo M,Alió y Sanz JL

doi

10.1038/sj.sc.3101062

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

705-7

issue

11

eissn

1362-4393

issn

1476-5624

journal_volume

38

pub_type

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