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Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction.

AbstractSTUDY 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.
AuthorsM D García-Manzanares, J I Belda-Sanchis, M Giner-Pascual, I Miguel-Leon, M Delgado-Calvo, J L Alió y Sanz
JournalSpinal cord (Spinal Cord) Vol. 38 Issue 11 Pg. 705-7 (Nov 2000) ISSN: 1362-4393 [Print] England
PMID11114780 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Glucocorticoids
  • Cocaine
Topics
  • Adult
  • Brown-Sequard Syndrome (drug therapy, etiology)
  • Cervical Vertebrae
  • Cocaine
  • Glucocorticoids (therapeutic use)
  • Horner Syndrome (diagnosis, etiology)
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Medulla Oblongata (injuries)
  • Spinal Cord Injuries (complications, diagnosis)
  • Wounds, Penetrating (complications, diagnosis)

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