| Brown-Séquard-plus syndrome because of penetrating trauma in children. | |
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MedLine Citation:
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PMID: 20682206 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Brown-Séquard syndrome is an uncommon condition involving incomplete spinal cord injury, with ipsilateral motor and proprioception loss, contralateral pain, and decreased temperature. Brown-Séquard-plus syndrome is associated with additional neurologic findings involving the eyes, bowel, or bladder. We describe an adolescent with Brown-Séquard-plus syndrome attributable to a stab injury. Our patient's clinical features of spinal and neurogenic shock overlapped at presentation. He was managed with high-dose steroids, along with intense physiotherapy and rehabilitation, resulting in good neurologic recovery. Appropriate medical (and surgical, when indicated) management usually results in good to complete recovery of neurologic function, depending on the level and grade of injury. With the increasing incidence of gunshot wounds and stab injuries in children, pediatricians, including pediatric neurologists and emergency physicians, are more likely to encounter these types of spinal cord injuries in children. |
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Authors:
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Magimairajan Issaivanan; Ndina M Nhlane; Firdous Rizvi; Mayank Shukla; Mary C Baldauf |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric neurology Volume: 43 ISSN: 1873-5150 ISO Abbreviation: Pediatr. Neurol. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-08-04 Completed Date: 2010-11-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508183 Medline TA: Pediatr Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 57-60 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Brookdale University Hospital and Medical Center, Brooklyn, NY, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Brown-Sequard Syndrome / etiology*, rehabilitation Cervical Vertebrae / injuries* Humans Male Spinal Cord Injuries / complications*, rehabilitation Treatment Outcome Wounds, Stab / complications*, rehabilitation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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