Cervical Epidural Haematoma Causing Brown-Sequard Syndrome: A Case Report

Kulkarni, Arvind G; Nag, Kushal; Shah, Sambhav

doi:10.1177/230949901302100322

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…Others share this opinion. [ 10 21 ] In a review of 330 cases by Groen and van Alphen[ 6 ], favorable outcomes occurred in those decompressed within 36 hours. In a series of 30 surgically treated patients, Lawton et al .…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

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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“…The traumatic causes, being the most common, include penetrating injury from one side (gunshot injury or stabbing with a knife) and vertebrae fracture. Non-traumatic causes include multiple sclerosis, malignancies, vascular causes, cysts, cervical spondylosis, meningitis, syphilis, tuberculosis, and transverse myelitis [3].…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Brown-Sequard Syndrome: A Case Report and Review of Literature

Venkatraman¹,

Vellachamy²,

Ranganathan³

et al. 2020

IJCR

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pinal stroke is a rare entity accounting for 1% of the all strokes. Based on the site of occlusion in the spinal arterial system, it can be classified as anterior spinal artery syndrome (most common), posterior spinal artery syndrome, Brown-Sequard syndrome (sulco-commissural artery syndrome), central cord syndrome, and complete transverse syndrome. Brown-Sequard syndrome occurring due to spinal sulcal artery occlusion is very rare and only a few cases have been reported in the world literature. It is characterized by ipsilateral upper motor neuron weakness, ipsilateral loss of vibration, proprioception and contralateral loss of pain, and temperature below the level of spinal cord lesion.Spinal cord trauma is the most common cause of Brown-Sequard syndrome (hemi-cord syndrome). The exact incidence and prevalence of spinal strokes resulting in Brown-Sequard syndrome are not known as it is rare [1]. There is a delay in diagnosing sulcal artery occlusion due to its rarity and its unfamiliarity. We report a 49-year-old female who presented to us with incomplete Brown-Sequard syndrome without the involvement of the dorsal column and evaluated to have sulcal artery stroke.

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Acquired Spinal Arteriovenous Fistula Presenting as Brown-Séquard Syndrome and Endovascular Treatment Outcome

Rizvi

Moudgil

et al. 2016

World Neurosurgery

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Cervical Epidural Haematoma Causing Brown-Sequard Syndrome: A Case Report

Cited by 4 publications

References 16 publications

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

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

A Rare Cause of Brown-Sequard Syndrome: A Case Report and Review of Literature

Acquired Spinal Arteriovenous Fistula Presenting as Brown-Séquard Syndrome and Endovascular Treatment Outcome

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