Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction.
METHODS
Case report of a 21-year-old man that had concurrence of Brown-Sequard syndrome and Horner's syndrome after a penetrating trauma in the neck.


OBJECTIVE
This report analyzes the location of lesions that cause a combination of Horner's and Brown-Sequard syndrome. It is important to know the anatomic structure of spinal cord and the sympathetic nerve chain.


METHODS
Spinal Cord Unit, Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Instituto Oftalmologico de Alicante, Alicante, Spain.


METHODS
Description of a single patient case report.


RESULTS
The clinical findings and MRI showed a good correlation. The Horner's syndrome was confirmed with a 4% cocaine test. The patient received a conservative treatment with high-dose steroid therapy (NASCIS-3).


CONCLUSIONS
The patient presented with Brown-Sequard syndrome and Horner's syndrome. Clinical examination and MRI made a quick and correct diagnosis. The patient recovered completely after the conservative treatment.
García-Manzanares
M D
MD
Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Spain.
Belda-Sanchis
J I
JI
Giner-Pascual
M
M
Miguel-Leon
I
I
Delgado-Calvo
M
M
Alió y Sanz
J L
JL
D000328:Adult; D018437:Brown-Sequard Syndrome / Q000188:drug therapy / Q000209:etiology*; D002574:Cervical Vertebrae; D003042:Cocaine; D005938:Glucocorticoids / Q000627:therapeutic use; D006732:Horner Syndrome / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata / Q000293:injuries*; D013119:Spinal Cord Injuries / Q000150:complications* / Q000175:diagnosis; D014950:Wounds, Penetrating / Q000150:complications* / Q000175:diagnosis
D005938:Glucocorticoids; D003042:Cocaine