Brown-Sequard syndrome associated with Horner’s syndrome following a penetrating drill bit injury to the cervical spine
Abstract We report a 41-year-old male who presented with a partial Brown-Sequard syndrome and Horner’s syndrome following a penetrating drill bit injury to his mid cervical spine. As the injury was not a complete hemisection of the spinal cord, the patient presented with ipsilateral motor deficit an...
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| Veröffentlicht in: | Journal of clinical neuroscience 2009-07, Vol.16 (7), p.975-977 |
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| creator | Russell, Jeremy H Joseph, Samuel J Snell, Broughton J Jithoo, Rondhir |
| description | Abstract We report a 41-year-old male who presented with a partial Brown-Sequard syndrome and Horner’s syndrome following a penetrating drill bit injury to his mid cervical spine. As the injury was not a complete hemisection of the spinal cord, the patient presented with ipsilateral motor deficit and hyperesthesia and diminished contralateral fine touch sensation; however, proprioception, vibration and temperature were all initially intact. A cervical CT and MRI scan showed a damaged spinal cord at the C5/6 level with posterior cord compression secondary to haematoma. A decompressive laminectomy and evacuation of the haematoma was performed. Over the following 5 days the patient’s right-sided motor deficit improved daily; however, he developed a contralateral deficit to pain and temperature upon wakening from the operation which did not resolve. The right-sided Horner’s syndrome also persisted. |
| doi_str_mv | 10.1016/j.jocn.2008.02.025 |
| format | Article |
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As the injury was not a complete hemisection of the spinal cord, the patient presented with ipsilateral motor deficit and hyperesthesia and diminished contralateral fine touch sensation; however, proprioception, vibration and temperature were all initially intact. A cervical CT and MRI scan showed a damaged spinal cord at the C5/6 level with posterior cord compression secondary to haematoma. A decompressive laminectomy and evacuation of the haematoma was performed. Over the following 5 days the patient’s right-sided motor deficit improved daily; however, he developed a contralateral deficit to pain and temperature upon wakening from the operation which did not resolve. The right-sided Horner’s syndrome also persisted.</description><identifier>ISSN: 0967-5868</identifier><identifier>EISSN: 1532-2653</identifier><identifier>DOI: 10.1016/j.jocn.2008.02.025</identifier><identifier>PMID: 19386500</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Brown-Sequard syndrome ; Brown-Sequard Syndrome - complications ; Brown-Sequard Syndrome - surgery ; Cervical spinal cord injury ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - injuries ; Horner Syndrome - complications ; Horner Syndrome - surgery ; Horner’s syndrome ; Humans ; Laminectomy - adverse effects ; Male ; MRI ; Neurology ; Penetrating injury ; Power drill ; Tomography, X-Ray Computed - methods ; Wounds, Penetrating - complications</subject><ispartof>Journal of clinical neuroscience, 2009-07, Vol.16 (7), p.975-977</ispartof><rights>2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-ba59f75bab1437c2623b90200b679fd03c2bbb0e36324494583ed621e708497f3</citedby><cites>FETCH-LOGICAL-c440t-ba59f75bab1437c2623b90200b679fd03c2bbb0e36324494583ed621e708497f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0967586808006073$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19386500$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Russell, Jeremy H</creatorcontrib><creatorcontrib>Joseph, Samuel J</creatorcontrib><creatorcontrib>Snell, Broughton J</creatorcontrib><creatorcontrib>Jithoo, Rondhir</creatorcontrib><title>Brown-Sequard syndrome associated with Horner’s syndrome following a penetrating drill bit injury to the cervical spine</title><title>Journal of clinical neuroscience</title><addtitle>J Clin Neurosci</addtitle><description>Abstract We report a 41-year-old male who presented with a partial Brown-Sequard syndrome and Horner’s syndrome following a penetrating drill bit injury to his mid cervical spine. As the injury was not a complete hemisection of the spinal cord, the patient presented with ipsilateral motor deficit and hyperesthesia and diminished contralateral fine touch sensation; however, proprioception, vibration and temperature were all initially intact. A cervical CT and MRI scan showed a damaged spinal cord at the C5/6 level with posterior cord compression secondary to haematoma. A decompressive laminectomy and evacuation of the haematoma was performed. Over the following 5 days the patient’s right-sided motor deficit improved daily; however, he developed a contralateral deficit to pain and temperature upon wakening from the operation which did not resolve. The right-sided Horner’s syndrome also persisted.</description><subject>Adult</subject><subject>Brown-Sequard syndrome</subject><subject>Brown-Sequard Syndrome - complications</subject><subject>Brown-Sequard Syndrome - surgery</subject><subject>Cervical spinal cord injury</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - injuries</subject><subject>Horner Syndrome - complications</subject><subject>Horner Syndrome - surgery</subject><subject>Horner’s syndrome</subject><subject>Humans</subject><subject>Laminectomy - adverse effects</subject><subject>Male</subject><subject>MRI</subject><subject>Neurology</subject><subject>Penetrating injury</subject><subject>Power drill</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Wounds, Penetrating - complications</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFktGK1DAUhoMo7uzoC3ghufKu40nSpi2I4C6uKyx4sXodkvTUTe0ks0m6w9z5Gr6eT2LLDCx4oXDgEPj-H_L_h5BXDDYMmHw7bIZg_YYDNBvg81RPyIpVghdcVuIpWUEr66JqZHNGzlMaAKAtBTwnZ6wVjawAVuRwEcPeF7d4P-nY0XTwXQxbpDqlYJ3O2NG9y3f0OkSP8ffPX-mR6cM4hr3z36mmO_SYo87Lq4tuHKlxmTo_TPFAc6D5DqnF-OCsHmnaOY8vyLNejwlfnvaafLv6-PXyurj58unz5YebwpYl5MLoqu3rymjDSlFbLrkwLcx_NrJu-w6E5cYYQCEFL8u2rBqBneQMa2jKtu7Fmrw5-u5iuJ8wZbV1yeI4ao9hSkrWXNbAxH9BDoyV7ey_JvwI2hhSitirXXRbHQ-KgVqaUYNamlFLMwr4PNUsen1yn8wWu0fJqYoZeHcEcA7jwWFUyTr0FjsX0WbVBfdv__d_ye3o_BL3DzxgGsIU_RyzYirNAnW73MZyGtAASKiF-AOhm7aN</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Russell, Jeremy H</creator><creator>Joseph, Samuel J</creator><creator>Snell, Broughton J</creator><creator>Jithoo, Rondhir</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20090701</creationdate><title>Brown-Sequard syndrome associated with Horner’s syndrome following a penetrating drill bit injury to the cervical spine</title><author>Russell, Jeremy H ; Joseph, Samuel J ; Snell, Broughton J ; Jithoo, Rondhir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-ba59f75bab1437c2623b90200b679fd03c2bbb0e36324494583ed621e708497f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Brown-Sequard syndrome</topic><topic>Brown-Sequard Syndrome - complications</topic><topic>Brown-Sequard Syndrome - surgery</topic><topic>Cervical spinal cord injury</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - injuries</topic><topic>Horner Syndrome - complications</topic><topic>Horner Syndrome - surgery</topic><topic>Horner’s syndrome</topic><topic>Humans</topic><topic>Laminectomy - adverse effects</topic><topic>Male</topic><topic>MRI</topic><topic>Neurology</topic><topic>Penetrating injury</topic><topic>Power drill</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Wounds, Penetrating - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Russell, Jeremy H</creatorcontrib><creatorcontrib>Joseph, Samuel J</creatorcontrib><creatorcontrib>Snell, Broughton J</creatorcontrib><creatorcontrib>Jithoo, Rondhir</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Russell, Jeremy H</au><au>Joseph, Samuel J</au><au>Snell, Broughton J</au><au>Jithoo, Rondhir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brown-Sequard syndrome associated with Horner’s syndrome following a penetrating drill bit injury to the cervical spine</atitle><jtitle>Journal of clinical neuroscience</jtitle><addtitle>J Clin Neurosci</addtitle><date>2009-07-01</date><risdate>2009</risdate><volume>16</volume><issue>7</issue><spage>975</spage><epage>977</epage><pages>975-977</pages><issn>0967-5868</issn><eissn>1532-2653</eissn><abstract>Abstract We report a 41-year-old male who presented with a partial Brown-Sequard syndrome and Horner’s syndrome following a penetrating drill bit injury to his mid cervical spine. As the injury was not a complete hemisection of the spinal cord, the patient presented with ipsilateral motor deficit and hyperesthesia and diminished contralateral fine touch sensation; however, proprioception, vibration and temperature were all initially intact. A cervical CT and MRI scan showed a damaged spinal cord at the C5/6 level with posterior cord compression secondary to haematoma. A decompressive laminectomy and evacuation of the haematoma was performed. Over the following 5 days the patient’s right-sided motor deficit improved daily; however, he developed a contralateral deficit to pain and temperature upon wakening from the operation which did not resolve. The right-sided Horner’s syndrome also persisted.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>19386500</pmid><doi>10.1016/j.jocn.2008.02.025</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0967-5868 |
| ispartof | Journal of clinical neuroscience, 2009-07, Vol.16 (7), p.975-977 |
| issn | 0967-5868 1532-2653 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Brown-Sequard syndrome Brown-Sequard Syndrome - complications Brown-Sequard Syndrome - surgery Cervical spinal cord injury Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - injuries Horner Syndrome - complications Horner Syndrome - surgery Horner’s syndrome Humans Laminectomy - adverse effects Male MRI Neurology Penetrating injury Power drill Tomography, X-Ray Computed - methods Wounds, Penetrating - complications |
| title | Brown-Sequard syndrome associated with Horner’s syndrome following a penetrating drill bit injury to the cervical spine |
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