Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome.
10.3340/jkns.2009.45.5.312
- Author:
Jong Tae KIM
1
;
Ho Jin BONG
;
Dong Sup CHUNG
;
Young Sup PARK
Author Information
1. Department of Neurosurgery, Our Lady of Mercy Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea. loverealbong@hanmail.net
- Publication Type:Case Report
- Keywords:
Brown-Sequard syndrome;
Cervical disc herniation;
Microdiscectomy;
Anterior cervical fusion
- MeSH:
Adult;
Brown-Sequard Syndrome;
Carbon;
Ceramics;
Durapatite;
Humans;
Hydroxyapatites;
Male;
Neurologic Manifestations;
Paresis;
Sensation;
Spinal Cord Compression;
Spinal Neoplasms;
Spine
- From:Journal of Korean Neurosurgical Society
2009;45(5):312-314
- CountryRepublic of Korea
- Language:English
-
Abstract:
Brown-Sequard syndrome may be the result of penetrating injury to the spine, but many other etiologies have been described. This syndrome is most commonly seen with spinal trauma and extramedullary spinal neoplasm. A herniated cervical disc has been rarely reported as a cause of this syndrome. We present a case of a 28-year-old male patient diagnosed as large C3-C4 disc herniation with spinal cord compression. He presented with left hemiparesis and diminished sensation to pain and temperature in the right side below the C4 dermatome. Microdiscectomy and anterior cervical fusion with carbon fiber cage containing a core of granulated coralline hydroxyapatite was performed. After the surgery, rapid improvement of the neurologic deficits was noticed. We present a case of cervical disc herniation producing acute Brown-Sequard syndrome with review of pertinent literature.
