Unilateral loss of thoracic motion after blunt trauma: a sign of acute Brown-Séquard syndrome
| Autor: | Akira Kuriyama, Ryo Ohtomo, Mizuki Sato |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Brown-Séquard syndrome Case Report 030204 cardiovascular system & hematology Emergency Nursing 03 medical and health sciences Brown-Sequard syndrome 0302 clinical medicine Blunt medicine Spinal cord injuries Thoracic motion Spinal cord injury Paresis business.industry Wounds nonpenetrating 030208 emergency & critical care medicine Sensory loss medicine.disease Spinal cord Surgery Hemiparesis medicine.anatomical_structure Blunt trauma Emergency Medicine sense organs medicine.symptom business |
| Zdroj: | Clinical and Experimental Emergency Medicine |
| ISSN: | 2383-4625 |
| Popis: | Late-onset Brown-Sequard syndrome (BSS) is a rare condition resulting from a spinal cord injury that develops weeks to years after a blunt trauma. Acute-onset BSS after a blunt injury has been rarely reported. Here, we report on a case of BSS, in a 58-year-old man, that developed immediately after a motor vehicle accident. Upon admission, loss of right thoracic motion, complete right paresis, and loss of pain and temperature sensations below the C3 level on the left side were observed. Magnetic resonance imaging showed hyperintensities within the cervical spinal cord at the C2-C3 level, confirming the diagnosis of BSS. Thoracic motion rapidly recovered, but other neurological sequelae persisted. BSS related to cervical cord injury should be suspected when patients develop hemiparesis and contralateral sensory loss immediately after a blunt trauma. Likewise, clinicians should be aware that unilateral loss of thoracic motion could be an important sign of BSS. |
| Databáze: | OpenAIRE |
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