medigraphic.com
Instituto Nacional de Neurología y Neurocirugía

2013, Number 2

<< Back Next >>

Arch Neurocien 2013; 18 (2)

Brown Sequard syndrome in a cervical disc herniation

Felipe Padilla-Vázquez F, Escobar-de la Garma VH, González-Fajardo MB, Elizalde-Martínez E, Barrera-García MI, Pérez-Hernández E, Rosas-Mora I, Cid-Canseco I, Pérez-Morales OA

Language: Spanish
References: 17
Page: 104-107
PDF size: 253.04 Kb.


ABSTRACT

Brown-Sequard syndrome, occurring frequently in spinal cord injuries, rarely is caused by degenerative processes, such as cervical herniated discs. We present the case of a 51 year old male patient, who presented with the sudden start of a clinical picture of Brown-Sequard syndrome, with right hemiplegia, absence of right proprioception and abolished termoalgesia in left hemibody. He had a cervical spine MRI, which revealed an extruded cervical disc in C3-C4, involving 80% of the spinal canal. We performed resection of C4 body (corporectomy) with placement of tituanium- cervical mesh and an anterior Mosher plate in vertebrae C3-C5, confirming decompression of the spinal canal without clinical improvement in motor and sensitive function.


REFERENCES

  1. Dandy WE. Serious complications of ruptured intervertebral discs. JAMA 1942;11:474-5.

  2. Parnell AP. Cer vical intradural disc protrusion. J Neurol Neurosurg Psychiatry 1998;51:1007.

  3. Durig M, Zdrojewski B. Intradurale sequestration einer cervikalen diskoshernie: Ein kasuistischer beitrag. Arch Orthop Unfallchir 1977;87:151-7.

  4. Epstein NE, Syrquin MS, Epstein JA, Decker RE. Intradural disc herniations in cervical, thoracic, and lumbar spine: Report of three cases and review of the literature. J Spinal Disord 2006;3:396-403.

  5. Destee A, Lesoin F, DiPaola F, Warot P. Intradural herniated cervical disc associated with chiropractic manipulation. J Neurol Neurosurg Psychiatry 1989;59:1113.

  6. Eisenberg RA, Bremer AM, Northup HM. Intradural herniated cervical disc: a case report and review of the literature. AJNR Am J Neuroradiol 2006;7:492-4.

  7. Lechowski S, Urbaniak J. Intradural herniation of the intervertebral disk of the cervical segment of the spine. Neurol Neurochir Pol 1986;20:589-91.

  8. Koc RK, Akdemir H, Oktem IS, Menku A. Intradural lumbar disc herniation: report of two cases. Neurosurg Rev 2011;24:44-7.

  9. Görgülü A, Karaaslan T, Tural O. Intradural and intraradicular lumbar disc herniations: Case report and review of the literature. Norol Bil D 2009;21:4.

  10. Lyons AE, Wise BL. Subarachnoid rupture of inter vertebral disc fragments. J Neurosurg 1961;18:242-4.

  11. Borm W, Bohnstedt T. Intradural cervical disc herniation: Case report and review of the literature. J Neurosurg 2006;92:221-4.

  12. Lee ST, Cheng SY, Lui TN. Intradural rupture of cer vical intervertebral disc. Spine (Phila Pa 1976) 1989;14:1412-24.

  13. Iwamura Y, Uematu H, Yamasita H. Intradural lumbar disc herniation: a case report. Seikei Geka 1991;42:1947-52.

  14. Iwamura Y, Onari K, Kondo S, Inasaka R, Horii H. Cervical intradural disc herniation. Spine (Phila Pa 1976) 2011;15:26: 698-702.

  15. Smith RV. Intradural disc rupture. Report of two cases. J Neurosurg 1981;55:117-20.

  16. Caetano de Barros A, Caetano de Barros M. Traumatic extradural and intradural herniation of a cervical disc treated surgically. Surg Neurol 1984;21:577-80.

  17. Jomin M, Lesoin F, Wareille A, Destée A, Gozet G. Extra - and intradural cer vical disk hernia. A case. Rev Rhum Mal Osteoartic 2008;52:593-4.




2020     |     www.medigraphic.com