Urrutia-Stamatio B, Betancourt-Villaruel AJC, López-Fernández M, Ocampo-Bustos KI, Padilla-Rubio J

Language: Spanish
References: 9
Page: 64-67
PDF size: 181.07 Kb.

ABSTRACT

Introduction: The Brown-Sequard syndrome is a rare pathological entity, reported as 1–4% of all spinal syndromes. Several etiologies have been described, such as trauma, syringomyelia, disc herniation, spinal cord neoplasia, demyelinating disease, infectious myelitis and spinal cord ischemia. Case Report: A 58-year-old female patient who came to the emergency room due to falling from her own height without loss of alertness but with left hemiplegia. A simple computed tomography scan of the brain was performed at 3–48 h after without evidence of hypo or hyperdense images. Diagnosed in the emergency department as ischemic stroke, it entered into internal medicine floor to continue study and treatment protocol; Physical examination revealed left hemiplegia, absence of left hemisphere proprioception and abolished thermoalgesia in the right side of the body, integrating a Brown-Sequard syndrome. Simple computed tomography of the cervical spine and magnetic resonance with gadolinium are requested, which report fusion of vertebral bodies in C4-C5 and C7-T1 with C5 spondylolisthesis and narrow cervical canal. Conclusion: Brown Sequard syndrome is a disease with few cases reported, being even more rare its association to the fusion of cervical vertebrae with stenosis cervical canal; important for its timely diagnosis a complete neurological physical examination.

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