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Cervical disc herniation producing Brown-Sequard syndrome: case report.

Luciano Mastronardi1, Andrea Ruggeri

  • 1Department of Neurological Sciences, Division of Neurosurgery, Sandro Pertini Hospital, Rome, Italy. mastro@tin.it

Spine
|January 15, 2004
PubMed
Summary

Brown-Sequard syndrome, a rare spinal cord injury, can be caused by cervical disc herniation. Early surgical intervention is recommended for patients experiencing this condition for optimal recovery.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Spinal Cord Injury

Background:

  • Brown-Sequard syndrome results from incomplete spinal cord hemisection.
  • Cervical disc herniation is a rare but documented cause of this syndrome.
  • Only 22 cases have been reported since 1928.

Observation:

  • A case of Brown-Sequard syndrome due to a large C5-C6 disc herniation is presented.
  • MRI revealed left spinal cord hyperintensity, indicating left hemicord damage.
  • The patient underwent microdiscectomy and anterior cervical fusion.

Findings:

  • Complete motor deficit recovery was achieved post-surgery.
  • Significant improvement in sensory deficits was observed.
  • The surgical intervention effectively addressed the spinal cord compression.

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Implications:

  • Cervical disc herniation as a cause of Brown-Sequard syndrome may be underdiagnosed.
  • Early surgical intervention is crucial for favorable outcomes.
  • This case highlights the importance of considering disc herniation in the differential diagnosis.