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Traumatic Brown-Séquard syndrome: modern reminder of a neurological injury
  1. Jorge Humberto Rodríguez-Quintero1,2,
  2. Gustavo Romero-Velez1,2,
  3. Xavier Pereira1,2 and
  4. Peter K Kim2,3
  1. 1Montefiore Medical Center Department of Surgery, Bronx, New York, USA
  2. 2General Surgery, Albert Einstein College of Medicine, Bronx, New York, USA
  3. 3General Surgery Department, Jacobi Medical Center, Bronx, New York, USA
  1. Correspondence to Dr Peter K Kim; kim.peter.p01{at}gmail.com

Abstract

Brown-Séquard syndrome (BSS) presents as an ipsilateral loss of motor function, proprioception and vibratory sensation accompanied by contralateral pain and temperature loss two to three levels below the level of the injury. It is one of the syndromes associated with incomplete transection of the spinal cord. Classic BSS is rare as most patients present with mixed neurological deficits related to damage of the spinal cord and surrounding structures. BSS remains prevalent in areas with high trauma burden, where assaults with sharp weapons are common. We present the case of a man aged 38 years who sustained a stab injury to the left back. BSS was diagnosed. He underwent removal of the weapon in the operating room and had an uneventful recovery to near baseline functional level after a course of rehabilitation. Despite being a rare aetiology, BSS continues to be an excellent reminder to trauma providers of the anatomy and physiology of neuroanatomical tracts.

  • neurological injury
  • trauma CNS /PNS
  • neurosurgery
  • spinal cord

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Footnotes

  • Contributors JHR-Q: conception and manuscript writing. GR-V: conception and design of the case report with patient data acquisition and drafting of the main manuscript. XP: preparing the figures. Drafting and editing of the main manuscript. Final approval of the version published. PK: conception of the case report. Final editing and approval of version published. As the corresponding author, he is in agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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