Spinal cord injury by a stab wound and Brown Séquard syndrome: Case report
Introduction: It is unusual to observe the occurrence of Brown Séquard syndrome as a consequence of a lateral hemisection of the spinal cord caused by a stab wound. We report a case of this syndrome showing its typical presentation. Clinical Case: A male, 18-year old subject was attacked and suffere...
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2012 |
| País: | Perú |
| Institución: | Colegio Médico del Perú |
| Repositorio: | Acta Médica Peruana |
| Idioma: | español |
| OAI Identifier: | oai:amp.cmp.org.pe:article/1173 |
| Acceso en línea: | https://amp.cmp.org.pe/index.php/AMP/article/view/1173 |
| Access Level: | acceso abierto |
| Palabra clave: | resonancia magnética nuclear Síndrome de Brown-Séquard traumatismos de la médula espinal médula espinal Brown-Sequard Syndrome Spinal Cord Injuries spinal cord |
| Sumario: | Introduction: It is unusual to observe the occurrence of Brown Séquard syndrome as a consequence of a lateral hemisection of the spinal cord caused by a stab wound. We report a case of this syndrome showing its typical presentation. Clinical Case: A male, 18-year old subject was attacked and suffered a stab wound in his right cervical area. The patient developed ipsilateral hemiparesis, an ipsilateral proprioception disturbance and a contralateral thermo-algesic disturbance. Image studies showed a laminar fracture in C6 and spinal edema in the same area. The patient underwent a C6-laminectomy. Three months after surgery, his neurological condition improved. Conclusions: It is unusual to observe the occurrence of Brown Séquard syndrome in its so-called classical or 'pure' form caused by a stab wound. The mandatory image study to perform in these cases is magnetic resonance imaging. Surgical therapy should be immediately performed only if there is evidence of a bone or metal fragment in the spinal canal, or if there is a hematoma in this area. |
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