Spinal Cord Disease - Brown-Sequard Syndrome

Question 1

What is Brown-Sequard Syndrome?

Answer 1

An anatomical disruption of nerve fibre tracts in one half of the spinal cord.

Question 2

Aetiology of Brown-Sequard Syndrome.

Answer 2

Lateral hemisection of the spinal cord.

Question 3

Causes of Brown-Sequard Syndrome (6).

Answer 3

1. Cord Trauma - Penetrating Injury.
2. Neoplasms.
3. Disc Hernation.
4. Demyelination.
5. Infection/Inflammation.
6. Epidural Haematoma.

Question 4

Clinical Features of Brown -Sequard Syndrome (3).

Answer 4

Below Level of Injury :

1. Ipsilateral Hemiplegia.
2. Ipsilateral Loss of Propriception and Vibration.
3. Contralateral Loss of Pain and Temperature Sensation.

Question 5

Management of Brown-Sequard Syndrome (4).

Answer 5

1. Treat Underlying Cause.
2. Surgery Intervention if Foreign Object, CSF Leakage, Infection or Compression.
3. Medical - Infective, Inflammatory, Demyelinating.
4. Surgical - Compression.