Brown-Sèquard Syndrome Produced by C3–C4 Cervical Disc Herniation

Sayer, Faisal T.; Vitali, A; Low, Hu Liang; Paquette, Scott; Honey, Christopher R.

doi:10.1097/brs.0b013e31816c835d

Cited by 27 publications

(23 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This syndrome has been reported in patients with various spinal pathologies, including spinal cord tumors, ischemia, epidural hematoma, inflammatory causes including multiple sclerosis, and degenerative disease such as disc herniation and cervical spondylosis 11,13,20,21) . A herniated cervical disc is a rare cause of Brown-Sequard syndrome and only 25 cases have been reported in the international literature 18) . The first person to identify a herniated disc as he etiology of Brown-Sequard syndrome was Stookey, in 1928 20) .…”

Section: Discussionmentioning

confidence: 99%

“…In 67% of the cases, the involved level was C5-C6 or C6-C7 and incidence of disc herniation between C2-C3 was less than 1%. And the Brown-Sequard syndrome due to a herniated C3-C4 disc is very rare (Table 1) 12, 18,21) . The time from initial symptoms to diagnosis ranged from 1 day to 18 months (mean 4.9 months) 13) .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it has been reported in patients with various spinal pathologies, including ischemia, epidural hematoma, inflammatory causes including multiple sclerosis, and degenerative disease such as disc herniation and cervical spondylosis 11,12,20,21) . In particular, a herniated cervical disc has been rarely reported as a cause of this syndrome 1,7,8,13,18) . There were only the 4 report cases of Brown-Sequard syndrome due to a herniated C3-C4 disc.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome

Kim

Bong

Chung

et al. 2009

J Korean Neurosurg Soc

View full text Add to dashboard Cite

J Korean Neurosurg Soc 45 : [312][313][314] 2009 Brown-Sequard syndrome may be the result of penetrating injury to the spine, but many other etiologies have been described. This syndrome is most commonly seen with spinal trauma and extramedullary spinal neoplasm. A herniated cervical disc has been rarely reported as a cause of this syndrome. We present a case of a 28-year-old male patient diagnosed as large C3-C4 disc herniation with spinal cord compression. He presented with left hemiparesis and diminished sensation to pain and temperature in the right side below the C4 dermatome. Microdiscectomy and anterior cervical fusion with carbon fiber cage containing a core of granulated coralline hydroxyapatite was performed. After the surgery, rapid improvement of the neurologic deficits was noticed. We present a case of cervical disc herniation producing acute Brown-Sequard syndrome with review of pertinent literature.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome

Kim

Bong

Chung

et al. 2009

J Korean Neurosurg Soc

View full text Add to dashboard Cite

show abstract

“…However, in cases with short history, over half of the patients showed complete recovery. 14,19 Because longstanding compression leads to poor prognosis, it is advised to perform the decompression as early as possible.…”

Section: Discussionmentioning

confidence: 99%

Brown-Sequard syndrome produced by calcified herniated cervical disc and posterior vertebral osteophyte: Case report

Guan

Wang

Clare

et al. 2015

Journal of Orthopaedics

View full text Add to dashboard Cite

Brown-Sequard syndrome (BSS) produced by hemisection of the spinal cord will lead to ipsilateral motor weakness, proprioceptive and vibratory sensation loss and is associated with contralateral deficit in sensation of pain and temperature. BSS is most commonly caused by injuries and neoplasms in the cervical and thoracic region.1-5 BSS induced by disc disorders is rare; since the first published case in 1928, only 50 cases have been reported in English language literatures. 6-10This case is the 51st published discogenic BSS, which is produced by calcified herniated C4-C5 disc and posterior vertebral osteophyte. Contrast to previous cases with acute progression, features of BSS took place 7 years after the onset of initial radicular symptom in a quite chronic manner.This 53-year-old male patient had a 7-year history of mild pain and numbness in the left arm. During the 6 months before admission, he had experienced progressive weakness in the left arm and leg, along with contralateral deficit in sensation of pain and temperature below T11.Upon physical examination, features of BSS were shown, including ipsilateral weakness in the left arm and leg (MRC Grade 3/5), hypertonia and hyperreflexia in left lower extremity, as well as reduced contralateral sensation of pain and temperature below T11. In addition, Hoffmann sign, Babinski sign and ankle clonus test of the left side were positive.CT scan showed calcifications of herniated C4-C5 disc and posterior vertebral osteophyte of C5 (Fig. 1). MRI showed a large central left-sided C4-C5 disc herniation, compressing the spinal cord, leading to increased signal intensity on T2WI (Fig. 2). MRI of thoracic spine showed no positive result, eliminating disorders in the thoracic region (Fig. 3). j o u r n a l o f o r t h o p a e d i c s 1 2 ( 2 0 1 5 ) s 2 6 0 -s 2 6 3 a r t i c l e i n f o

show abstract

“…It occurs most often after traumatic injuries or tumor compression to the spinal cord. Cervical disc herniation as a cause of BSS was first described by Stookey [1], but few cases have been reported, representing an exceptional cause of this syndrome [2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring

Urrutia

Fadić

2011

Eur Spine J

View full text Add to dashboard Cite

Introduction Brown-Sequard syndrome is an incomplete spinal cord lesion characterized by ipsilateral loss of motor function and contralateral loss of pain and temperature sensitivity, reflecting a hemi-compression or hemi-section of the spinal cord. Cervical disc herniation is an exceptional cause of this syndrome. Material and methods We report a case of cervical disc herniation causing Brown-Sequard syndrome in a patient with an unusually rapid neurological deterioration associated to cervical extension, which was documented by neuromonitoring. Conclusion A prompt diagnosis, followed by spinal cord decompression should be warranted. Intraoperative neuromonitoring is a useful tool in preservation of neurologic function in these cases.

show abstract

Brown-Sèquard Syndrome Produced by C3–C4 Cervical Disc Herniation

Abstract: Brown-Sèquard syndrome is rarely caused by a cervical disc herniation. This etiology may be underdiagnosed but has a more favorable outcome in those cases where rapid diagnosis is followed by spinal cord decompression.

Cited by 27 publications

References 17 publications

Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome

Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome

Brown-Sequard syndrome produced by calcified herniated cervical disc and posterior vertebral osteophyte: Case report

Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring

Contact Info

Product

Resources

About