Abstract
Study design: Case Report of a 21-year-old man that had concurrence of Brown-Séquard syndrome and Horner's syndrome after a penetrating trauma in the neck.
Objectives: This report analyzes the location of lesions that cause a combination of Horner's and Brown-Séquard syndrome. It is important to know the anatomic structure of spinal cord and the sympathetic nerve chain.
Setting: Spinal Cord Unit, Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Instituto Oftalmológico de Alicante, Alicante, Spain.
Methods: Description of a single patient case report.
Results: The clinical findings and MRI showed a good correlation. The Horner's syndrome was confirmed with a 4% cocaine test. The patient received a conservative treatment with high-dose steroid therapy (NASCIS-3).
Conclusion: The patient presented with Brown-Séquard syndrome and Horner's syndrome. Clinical examination and MRI made a quick and correct diagnosis. The patient recovered completely after the conservative treatment.
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García-Manzanares, M., Belda-Sanchis, J., Giner-Pascual, M. et al. Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction. Spinal Cord 38, 705–707 (2000). https://doi.org/10.1038/sj.sc.3101062
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DOI: https://doi.org/10.1038/sj.sc.3101062
Keywords
- Brown-Séquard syndrome
- Horner's syndrome
- spinal cord injury
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