Brown-Séquard syndrome of the cervical spinal cord after chiropractic manipulation.
We report a case of increased signal in the left hemicord at the C4 level on T2-weighted MR images after chiropractic manipulation, consistent with contusion. The patient displayed clinical features of Brown-Séquard syndrome, which stabilized with immobilization and steroids. Follow-up imaging showed decreased cord swelling with persistent increased signal. After physical therapy, the patient regained strength on the left side, with residual decreased sensation to pain involving the right arm.
Lipper
M H
MH
Department of Radiology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Goldstein
J H
JH
Do
H M
HM
D001915:Braces; D018437:Brown-Sequard Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003288:Contusions / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006987:Hypesthesia / Q000503:physiopathology; D007103:Immobilization; D008279:Magnetic Resonance Imaging; D020393:Manipulation, Spinal / Q000009:adverse effects*; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D009119:Muscle Contraction / Q000502:physiology; D018696:Neuroprotective Agents / Q000627:therapeutic use; D026741:Physical Therapy Modalities; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
D005938:Glucocorticoids; D018696:Neuroprotective Agents; D008775:Methylprednisolone