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  4. Brown-Sequard Syndrome after an Accidental Stab Injury of Cervical Spine: A Case Report

Brown-Sequard Syndrome after an Accidental Stab Injury of Cervical Spine: A Case Report

Korean J Neurotrauma, 2015 · DOI: 10.13004/kjnt.2015.11.2.180 · Published: June 1, 2015

Spinal Cord InjuryNeurologyResearch Methodology & Design

Simple Explanation

Brown-Sequard syndrome (BSS) is a rare condition resulting from incomplete spinal cord injury, often caused by traumatic events like stab wounds. This case report describes a woman who experienced typical BSS symptoms after a stab wound to her posterior neck. The patient's condition improved with conservative treatment and rehabilitation, highlighting the potential for favorable outcomes in BSS cases without neural compression.

Study Duration
6 Months
Participants
One 42-year-old woman
Evidence Level
Case Report

Key Findings

  • 1
    The patient presented with right-side hemiparesis, ipsilateral hypoesthesia, and contralateral sensory loss of pain and temperature, consistent with BSS.
  • 2
    MRI confirmed a signal change at the C6-7 cord level and the tract of the stab wound, supporting the diagnosis of BSS.
  • 3
    Conservative treatment, including wound closure and rehabilitation, led to significant neurological improvement, allowing the patient to return to normal daily life.

Research Summary

This case report details a 42-year-old woman who developed Brown-Sequard syndrome (BSS) following an accidental stab wound to the cervical spine. The patient exhibited classic BSS symptoms, including hemiparesis, ipsilateral hypoesthesia, and contralateral sensory loss, which were confirmed by MRI findings. The patient's condition improved with conservative treatment, suggesting that surgery is not always necessary for BSS caused by stab injuries.

Practical Implications

Diagnostic Confirmation

MRI is crucial for confirming the diagnosis and identifying the extent of spinal cord injury in BSS cases.

Conservative Management

Conservative treatment can be effective for BSS caused by stab wounds when there is no neural compression.

Prognosis

BSS often has a favorable prognosis, with many patients achieving significant neurological recovery.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Limited information on long-term outcomes beyond 6 months.
  • 3
    Lack of comparison with surgical intervention outcomes.

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