OLGU SUNUMLARI
Servikal Disk Herniasyonu Sonucu Gelişen Brown-Sequard Sendromu Olgusu
A Case of Brown-Sequard Syndrome Due to Cervical Disc Herniation
Received Date : 16 Nov 2019
Accepted Date : 03 Mar 2020
Available Online : 19 Mar 2020
Canan TIKIZa, Aslıhan ULUSOYb, Çağla DOĞANa
aClinic of Physical Medicine and Rehabilitation, Manisa Celal Bayar University Hafsa Sultan Hospital, Manisa, TURKEY
bClinic of Physical Medicine and Rehabilitation, New Urla State Hospital, İzmir, TURKEY
Doi: 10.31609/jpmrs.2019-72156 - Makale Dili: EN
J PMR Sci. 2020;23(3):229-31
ÖZET
Brown-Sequard sendromu spinal kordun inkomplet, yarı kesisi
sonucunda gelişen lezyon altında ipsilateral motor güçsüzlük, kontraleteral
duyu ve ısı kaybı ile karakterize bir yaralanmadır. Servikal disk
herniasyonu bu sendromun istisnai bir nedenidir. Bu hastalıkta erken tanının
önemi, erken cerrahi müdahale ile prognozun diğer etyolojik nedenlere
oranla daha iyi seyretmesidir. Biz bu olguda C5-C6 servikal
disk hernisine bağlı Brown-Sequard sendromu tanısı alan ve cerrahi girişim
sonrası klinik iyileşme gösteren hastayı sunmayı amaçladık.
Anahtar Kelimeler: Brown-Sequard sendromu; servikal disk herniasyonu
ABSTRACT
Brown-Sequard syndrome is an incomplete, hemisection
of the spinal cord injury characterized by ipsilateral motor weakness
and loss of pain and temperature sensation on the opposite side
below the lesion level. Cervical disc herniation is an exceptional cause
of this syndrome. The importance of early diagnosis in this disease
is that by early surgical intervention the prognositic outcomes are better
than the other etiologic reasons. We aim to present a case of patient
diagnosed as C5-C6 herniated cervical disc resulting in
Brown-Sequard syndrome who had clinical improvement after surgical
intervention.
Keywords: Brown-Sequard syndrome; cervical disc herniation
REFERENCES
- Roth EJ, Park T, Pang T, et al. Traumatic cervical Brown-Sequard and Brown-Sequard-plus syndromes: the spectrum of presentations and outcomes. Paraplegia. 1991;29:582-9. [Crossref] [PubMed]
- Aryan HE, Farin A, Nakaji P, et al. Intramedullary spinal cord metastasis of lung adenocarcinoma presenting as Brown-Sequard syndrome. Surg Neurol. 2004;61:72-6. [Crossref]
- Mastronardi L, Ruggeri A. Cervical disc herniation producing Brown-Sequard syndrome: case report. Spine (Phila Pa 1976). 2004;29:E28-31. [Crossref] [PubMed]
- Stookey B. Compression of the spinal cord due to ventral extradural cervical chondromas: diagnosis and surgical treatment. Arch Neurol Psychiatry. 1928;20:275-91. [Crossref]
- Zeng Y, Ren H, Wan J, et al. Cervical disc herniation causing Brown-Sequard syndrome: case report and review of literature (CARE-compliant). Medicine (Baltimore). 2018;97:e12377. [Crossref] [PubMed] [PMC]
- Finelli PF, Leopold N, Tarras S. Brown-Sequard syndrome and herniated cervical disc. Spine (Phila Pa 1976). 1992;17:598-600. [Crossref] [PubMed]
- Urrutia J, Fadic R. Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring. Eur Spine J. 2012;21:418-21. [Crossref] [PubMed] [PMC]
- Meng Y, Zhou L, Liu X, et al. Brown-Sequard syndrome associated with Horner syndrome following cervical disc herniation. Spinal Cord Ser Cases. 2016;2:16037. [Crossref] [PubMed] [PMC]
- Choi KB, Lee CD, Chung DJ, et al. Cervical disc herniation as a cause of Brown-Séquard syndrome. J Korean Neurosurg Soc. 2009;46:505-10. [Crossref] [PubMed] [PMC]
- Lee JK, Kim YS, Kim SH. Brown-Sequard syndrome produced by cervical disc herniation with complete neurologic recovery: report of three cases and review of the literature. Spinal Cord. 2007;45:744-8. [Crossref] [PubMed]
- Yokoyama K, Kawanishi M, Yamada M, et al. Cervical disc herniation manifesting as a Brown-Sequard syndrome. J Neurosci Rural Pract. 2012;3:182-3. [Crossref] [PubMed] [PMC]
