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Case Reports
. 2020 Dec 26;2020(12):rjaa460.
doi: 10.1093/jscr/rjaa460. eCollection 2020 Dec.

Postoperative Brown-Séquard syndrome: case report and review of the literature

Affiliations
Case Reports

Postoperative Brown-Séquard syndrome: case report and review of the literature

Diogo Belo et al. J Surg Case Rep. .

Abstract

Brown-Séquard syndrome (BSS) is a rare neurological condition caused by a hemi-lesion of the spinal cord and was first described in the 1800s. BSS is characterized by an ipsilateral absence of motor control and discriminatory/proprioceptive/vibratory sensation at and below the spinal level involved, associated with loss of contralateral temperature and pain sensation a couple of vertebral segments below the lesion. BSS is commonly associated with trauma, but can also be iatrogenic. The authors report a case of a patient who presented with neoplastic dorsal spinal cord compression and developed a BSS after surgical decompression and review of the literature of postoperative BSS cases.

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Figures

Figure 1
Figure 1
Postoperative MRI (sagittal and axial contrasted T2).
Figure 2
Figure 2
Day 14 post-op MRI (sagittal and axial contrasted T2).
Figure 3
Figure 3
Day 90 post-op MRI (sagittal and axial contrasted T2).

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