Brown-Sequard syndrome after manual manipulation of the cervical spine: case report

A 29-year-old man developed Brown-Sequard syndrome immediately after performing a manipulation on his own cervical spine. Imaging showed large disc herniations at the levels of C4–C5 and C5–C6 with severe cord compression, so the patient underwent emergent surgical decompression. He was discharged to an acute rehabilitation hospital, where he made a full functional recovery by postoperative day 8.

• 1
  The patient experienced Brown-Sequard syndrome (BSS) after self-manipulation of the cervical spine, a previously undocumented occurrence.
• 2
  Surgical intervention (ACDF) and intensive inpatient rehabilitation led to a rapid and full functional recovery for the patient.
• 3
  The case highlights the potential risks associated with self-cervical manipulation, especially in individuals with pre-existing degenerative changes in the cervical spine.