Brown-Sequard syndrome

Question 1

what is the pathophysiology of brown-sequard syndrome?

Answer 1

anatomical distruption of the nerve fibre tracts in one half of the spinal cord

• descending lateral corticospinal tract
• ascending dorsal column
• ascending spinothalamic tract

Question 2

what is the presentation of brown-sequard syndrome?

Answer 2

ipsilateral hemiplegia
ipsilateral loss of proprioception and vibration sense
ipsilateral hyperreflexia
contralateral loss of pain and temperature

Question 3

what are the causes of brown squared syndrome?

Answer 3

cord trauma 
infectious/inflammatory lesion 
neoplasm 
demyelination 
epidural haematoma 
disc herniation

Question 4

what is the management for brown squared syndrome?

Answer 4

depends on the cause

surgery - external cord compression

medical - infectious/inflammatory or demyelinating causes