Podcast 578: Brown-Sequard Syndrome 

<p><strong>Author: Eric Miller, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Brown-Sequard Syndrome is a neurological deficit that results from hemisection of the spinal cord </span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">This is usually from traumatic injury (blunt or penetrating), but can rarely be seen with cancer, disc herniation, or infection</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">It presents with flaccid paralysis and loss of sensation to touch/vibration/position on the same side as the injury with loss of pain/temperature sensation on the opposite side of the injury.  These deficits will be below the level of injury. </span></li> </ul> <p> </p> <p><strong>References</strong></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Roth, E., Park, T., Pang, T.</span> <em><span style="font-weight: 400;">et al.</span></em> <span style= "font-weight: 400;">Traumatic cervical Brown-Sequard and Brown-Sequard-plus syndromes: the spectrum of presentations and outcomes.</span> <em><span style="font-weight: 400;">Spinal Cord</span></em> <span style="font-weight: 400;">29, 582–589 (1991). </span></span></p> <p><span style="font-weight: 400; font-size: 10pt;">Wagner R, Jagoda A. Spinal cord syndromes. Emerg Med Clin North Am. 1997;15(3):699. </span></p> <p><span style="font-size: 10pt;"><em><span style= "font-weight: 400;">Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD</span></em></span></p> <p> </p> <p><br /> <br /></p>