An unusual case of Brown-Sequard syndrome associated with Horner’s syndrome after a penetrating injury with a khuru (Bhutanese dart) to the neck: A case report

Brown-Sequard syndrome (BSS) results from hemisection injury of the spinal cord, mostly in the cervical cord region, which leads to ipsilateral loss of motor function, proprioception, and vibration at the level of the lesion as well as contralateral loss of pain and temperature sensation approximately two levels below the lesion. Horner’s syndrome is characterized by the classic triad of miosis, partial ptosis, and hemifacial anhidrosis. Although concurrence of Horner’s syndrome is common in spinal cord lesions at the cervicothoracic region, the combination of Horner’s with BSS is very rare with very limited reports. This case report describes a 12-year-old boy who sustained a penetrating neck injury from a khuru (Bhutanese dart), resulting in both Brown-Sequard syndrome and Horner's syndrome. The patient was managed conservatively and made a full recovery.

• 1
  A 12-year-old boy presented with Brown-Sequard syndrome and Horner's syndrome after a penetrating injury to the neck by a khuru (Bhutanese dart).
• 2
  CT and MRI scans revealed a C2 lamina fracture with indentation to the spinal cord.
• 3
  The patient was managed conservatively with a soft cervical collar, intravenous antibiotics, and physiotherapy, leading to complete resolution of both syndromes after one year.