Document Detail

Incomplete Brown-Séquard syndrome caused by cervical kyphosis secondary to neurofibromatosis: report of a case.
MedLine Citation:
PMID:  12898318     Owner:  NLM     Status:  MEDLINE    
The case of a 17-year-old boy who suffered from incomplete Brown-SEquard syndrome caused by dystrophic cervical kyphosis secondary to neurofibromatosis is presented. He became aware of weakness of his left upper and lower extremities and was unable to walk within 1 month of his first feeling numbness in the right upper and lower extremities. Thereafter his condition deteriorated rapidly. On radiological investigation the entire dural sac was shifted anteriorly and the spinal cord was flattened anteroposteriorly and asymmetrically at the angular kyphosis level, as in Hirayama's disease. Despite morphological similarities to Hirayama's disease, this patient presented with quite different clinical features: incomplete Brown-SEquard syndrome and rapidly progressive symptoms. It is suspected that the myelopathy in this case can be attributed to compression of the spinal cord between the vertebral body and the posterior dural wall on only one side. He was successfully treated with posterior interspinous wiring combined with anterior decompression and fusion. The neurological deficit fully disappeared, and complete bony union was obtained 1 year after the operation.
Masahiro Abe
Related Documents :
20220428 - The clinical significance of pneumorachis: a case report and review of the literature.
3208468 - Spinal epidural hematoma without lesion of the spine. report of 4 cases.
15640988 - Forecasting of spinal cord injury annual case numbers in australia.
2685298 - Linear scleroderma: a response to neurologic injury? report and literature review.
2039788 - Traumatic reticulitis in cattle: a review of 60 fatal cases.
1610848 - Osteoporosis as the presenting sign of leukemic relapse in an adolescent: case report a...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  8     ISSN:  0949-2658     ISO Abbreviation:  J Orthop Sci     Publication Date:  2003  
Date Detail:
Created Date:  2003-08-04     Completed Date:  2003-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  602-6     Citation Subset:  IM    
Tsuchiura Kyodo Hospital, 11-7 Manabe-Shinmachi, 300-0053, Tsuchiura, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Brown-Sequard Syndrome / diagnosis,  etiology*,  surgery
Cervical Vertebrae / pathology,  radiography,  surgery
Kyphosis / complications*,  diagnosis,  surgery
Neurofibromatoses / complications*,  diagnosis,  surgery

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

Previous Document:  Unusually large solitary unicameral bone cyst: case report.
Next Document:  Locking of the thumb in a patient with de Quervain's disease: a case report.