Brown-Séquard Syndrome Following a Thoracic Spine Stab Wound: A Case Report

This case report describes a rare spinal cord injury (SCI) caused by a stab wound, leading to Brown-Séquard syndrome (BSS). BSS involves specific neurological deficits due to damage to one side of the spinal cord. The patient, a 28-year-old man, sustained a knife injury to his thoracic spine during a violent altercation. He underwent surgery and rehabilitation. The study highlights the complexities in managing penetrating SCIs, especially regarding the decision between surgical and non-surgical approaches, and the importance of tailored rehabilitation programs.

• 1
  The patient was diagnosed with Brown-Séquard syndrome (BSS) with paraplegia AIS C NLI T8, along with a sensorimotor lesion of the radial nerve.
• 2
  Post-rehabilitation, the patient achieved independence in transfers, exhibited a robust palmar grip in the left hand, and attained knee flexion in the right leg against the force of gravity.
• 3
  Imaging studies, including CT and MRI, were crucial in delineating the trajectory of the knife and assessing the extent of spinal cord damage.