What is affected in Brown-Séquard syndrome?

Brown-Séquard syndrome is a rare spinal disorder that results from an injury to one side of the spinal cord in which the spinal cord is damaged but is not severed completely. It is usually caused by an injury to the spine in the region of the neck or back.

Is Brown-Séquard upper motor neuron?

Patients with Brown-Séquard syndrome suffer from ipsilateral upper motor neuron paralysis and loss of proprioception, as well as contralateral loss of pain and temperature sensation. A zone of partial preservation or segmental ipsilateral lower motor neuron weakness and analgesia may be noted.

Is Brown-Séquard syndrome a myelopathy?

Signs of Cervical Myelopathy . Symptoms of Cervical Myelopathy . BSS is a rare spinal syndrome resulting from injury to the spinal cord that causes ipsilateral hemiplegia from corticospinal tract compression and contralateral loss of pain and temperature sensation from spinothalamic tract dysfunction.

How is Brown-Séquard diagnosed?

Radiography. Radiographic studies help to confirm the diagnosis and determine the etiology of Brown-Séquard syndrome. Plain films always are required in acute trauma to the spine, but more information usually is obtained by newer techniques. Spinal plain radiographs may depict bony injury in penetrating or blunt trauma …

What is Brown-Séquard syndrome treatment?

Treatment for individuals with Brown-Sequard syndrome focuses mainly on the underlying cause of the disorder. Early treatment with high-dose steroids may be beneficial in many cases. Physical, occupational and recreational therapy are important aspects of patient rehabilitation.

What happens at the level of lesion in Brown-Séquard syndrome?

In Brown-Séquard syndrome, the deficits are referable to a lesion of a lateral half of the cord; findings consist of loss of ipsilateral motor, touch, proprioception, and vibration sensation as well as contralateral pain and temperature sensation.

How is Brown-Séquard syndrome treated?

How do you treat Brown-Séquard syndrome?

What neurological findings are consistent with Brown-sequard syndrome?

Brown-Séquard syndrome is a neurologic syndrome resulting from hemisection of the spinal cord. It manifests with weakness or paralysis and proprioceptive deficits on the side of the body ipsilateral to the lesion and loss of pain and temperature sensation on the contralateral side.

What is cauda equina syndrome?

Cauda equina syndrome occurs when the nerve roots in the lumbar spine are compressed, cutting off sensation and movement. Nerve roots that control the function of the bladder and bowel are especially vulnerable to damage.

Who discovered Brown-Séquard syndrome?

Is Brown-sequard syndrome permanent?

The presentation can be progressive and incomplete. It can advance from a typical Brown-Séquard syndrome to complete paralysis. It is not always permanent and progression or resolution depends on the severity of the original spinal cord injury and the underlying pathology that caused it in the first place.

What do you need to know about Brown Sequard syndrome?

Related Information. Brown-Sequard syndrome (BSS) is a rare neurological condition characterized by a lesion in the spinal cord which results in weakness or paralysis (hemiparaplegia) on one side of the body and a loss of sensation (hemianesthesia) on the opposite side.

How did Charles Brown Sequard get his name?

His name was immortalised in the history of medicine with the description of a syndrome which bears his name (Brown-Séquard syndrome) due to the hemisection of the spinal cord, which he described after observing accidental injury of the spinal cord in farmers cutting sugar cane in Mauritius.

What was the Brown Sequard elixir known as?

It was known, among scientists, derisively, as the Brown-Séquard Elixir. A Vienna medical publication quipped dismissively: “The lecture must be seen as further proof of the necessity of retiring professors who have attained their threescore and ten years.”