Document Detail


Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction.
MedLine Citation:
PMID:  11114780     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case report of a 21-year-old man that had concurrence of Brown-Sequard syndrome and Horner's syndrome after a penetrating trauma in the neck.
OBJECTIVES: This report analyzes the location of lesions that cause a combination of Horner's and Brown-Sequard syndrome. It is important to know the anatomic structure of spinal cord and the sympathetic nerve chain.
SETTING: Spinal Cord Unit, Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Instituto Oftalmologico de Alicante, Alicante, Spain.
METHODS: Description of a single patient case report.
RESULTS: The clinical findings and MRI showed a good correlation. The Horner's syndrome was confirmed with a 4% cocaine test. The patient received a conservative treatment with high-dose steroid therapy (NASCIS-3).
CONCLUSION: The patient presented with Brown-Sequard syndrome and Horner's syndrome. Clinical examination and MRI made a quick and correct diagnosis. The patient recovered completely after the conservative treatment.
Authors:
M D García-Manzanares; J I Belda-Sanchis; M Giner-Pascual; I Miguel-Leon; M Delgado-Calvo; J L Alió y Sanz
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spinal cord     Volume:  38     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-22     Completed Date:  2001-02-01     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  705-7     Citation Subset:  IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brown-Sequard Syndrome / drug therapy,  etiology*
Cervical Vertebrae*
Cocaine / diagnostic use
Glucocorticoids / therapeutic use
Horner Syndrome / diagnosis,  etiology*
Humans
Magnetic Resonance Imaging
Male
Medulla Oblongata / injuries*
Spinal Cord Injuries / complications*,  diagnosis
Wounds, Penetrating / complications*,  diagnosis
Chemical
Reg. No./Substance:
0/Glucocorticoids; 50-36-2/Cocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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