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