Spinal cord injury by a stab wound and Brown Séquard syndrome: Case report

  • Carlos Casallo Quiliano Hospital Militar Central del Ejército del Perú
Keywords: Brown-Sequard Syndrome, Spinal Cord Injuries, spinal cord

Abstract

Introduction: It is unusual to observe the occurrence of Brown Séquard syndrome as a consequence of a lateral hemisection of the spinal cord caused by a stab wound. We report a case of this syndrome showing its typical presentation.

Clinical Case: A male, 18-year old subject was attacked and suffered a stab wound in his right cervical area. The patient developed ipsilateral hemiparesis, an ipsilateral proprioception disturbance and a contralateral thermo-algesic disturbance. Image studies showed a laminar fracture in C6 and spinal edema in the same area. The patient underwent a C6-laminectomy. Three months after surgery, his neurological condition improved.

Conclusions: It is unusual to observe the occurrence of Brown Séquard syndrome in its so-called classical or 'pure' form caused by a stab wound. The mandatory image study to perform in these cases is magnetic resonance imaging. Surgical therapy should be immediately performed only if there is evidence of a bone or metal fragment in the spinal canal, or if there is a hematoma in this area.

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Published
2012-06-29
How to Cite
1.
Casallo Quiliano C. Spinal cord injury by a stab wound and Brown Séquard syndrome: Case report. Acta Med Peru [Internet]. 2012Jun.29 [cited 2024Mar.29];29(2):89-1. Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/1173
Section
CASE REPORTS