Question: How Is Brown Sequard Syndrome Treated?

What happens in brown sequard syndrome?

Brown-Sequard syndrome (BSS) is a rare neurological condition characterized by a lesion in the spinal cord which results in weakness or paralysis (hemiparaplegia) on one side of the body and a loss of sensation (hemianesthesia) on the opposite side..

Who is Brown sequard?

Charles-Édouard Brown-Séquard, (born April 8, 1817, Port Louis, Mauritius—died April 1, 1894, Paris, France), French physiologist and neurologist, a pioneer endocrinologist and neurophysiologist who was among the first to work out the physiology of the spinal cord.

What is a neurogenic shock?

Neurogenic shock is a devastating consequence of spinal cord injury (SCI), also known as vasogenic shock. Injury to the spinal cord results in a sudden loss of sympathetic tone, which leads to the autonomic instability that is manifested in hypotension, bradyarrhythmia, and temperature dysregulation.

How is Brown sequard syndrome diagnosed?

The diagnosis of Brown-Séquard syndrome is made on the basis of history and physical examination. Laboratory work is not necessary to evaluate for the condition but may be helpful in following the patient’s clinical course.

Which spinal pathways Motor & sensory are affected in a brown Séquard syndrome?

Brown-Séquard syndrome is caused by injury of the lateral half of the spinal cord (usually cervical) and is characterized by ipsilateral motor paralysis, ipsilateral loss of vibration sense, proprioception and touch, and contralateral loss of pain and temperature sensation below the level of the lesion.

What causes brown sequard syndrome?

Brown-Séquard syndrome is a rare spinal disorder that results from an injury to one side of the spinal cord in which the spinal cord is damaged but is not severed completely. It is usually caused by an injury to the spine in the region of the neck or back.

What is a cauda equina syndrome?

Cauda equina syndrome (CES) occurs when the nerve roots of the cauda equina are compressed and disrupt motor and sensory function to the lower extremities and bladder. Patients with this syndrome are often admitted to the hospital as a medical emergency.

What is Conus Medullaris syndrome?

Conus medullaris syndrome is a collection of signs and symptoms associated with injury to the conus medullaris. It typically causes back pain and bowel and bladder dysfunction, spastic or flaccid weakness depending on the level of the lesion, and bilateral sensory loss .

How is central cord syndrome diagnosed?

Testing & Diagnosis Evaluation of a patient with suspected CCS includes a complete medical history, thorough general and neurological examinations, cervical magnetic resonance imaging (MRI), computed tomography (CT) scan and plain cervical spine X-rays, including supervised flexion and extension views.

What is posterior cord syndrome?

Posterior cord syndrome is a rare type of incomplete spinal cord injury that affects the dorsal or posterior columns of the spinal cord, which are responsible for the perception of vibration, fine-touch and body positioning (i.e. proprioception).

What does tetraplegic mean?

Tetraplegia (or Quadraplegia) means the paralysis of legs, arms, stomach and some chest muscles. Complete injury is where there is no muscle function, voluntary movement or sensation below the level of the injury.

Is Brown sequard syndrome permanent?

The presentation can be progressive and incomplete. It can advance from a typical Brown-Séquard syndrome to complete paralysis. It is not always permanent and progression or resolution depends on the severity of the original spinal cord injury and the underlying pathology that caused it in the first place.

What is Spinothalamic pathway?

The spinothalamic tract is an ascending pathway of the spinal cord. Together with the medial lemnicus, it is one of the most important sensory pathways of the nervous system. It is responsible for the transmission of pain, temperature, and crude touch to the somatosensory region of the thalamus.