Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring.

Urrutia, Julio; Fadic, Ricardo

Keywords: Brown-Sequard syndrome Cervical disc herniation Motor-evoked potentials Neuromonitoring I

Abstract

Abstract INTRODUCTION: Brown-Sequard syndrome is an incomplete spinal cord lesion characterized by ipsilateral loss of motor function and contralateral loss of pain and temperature sensitivity, reflecting a hemi-compression or hemi-section of the spinal cord. Cervical disc herniation is an exceptional cause of this syndrome. MATERIAL AND METHODS: We report a case of cervical disc herniation causing Brown-Sequard syndrome in a patient with an unusually rapid neurological deterioration associated to cervical extension, which was documented by neuromonitoring. CONCLUSION: A prompt diagnosis, followed by spinal cord decompression should be warranted. Intraoperative neuromonitoring is a useful tool in preservation of neurologic function in these cases.

Más información

Título de la Revista: Eur Spine J.
Volumen: 21
Número: 4
Fecha de publicación: 2012
Página de inicio: 418
Página final: 421
Idioma: English
Notas: ISI