title: Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction.
abstract: 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.
authors: Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Spain.
authors: M D
authors: MD
authors: García-Manzanares
authors: J I
authors: JI
authors: Belda-Sanchis
authors: M
authors: M
authors: Giner-Pascual
authors: I
authors: I
authors: Miguel-Leon
authors: M
authors: M
authors: Delgado-Calvo
authors: J L
authors: JL
authors: Alió y Sanz
mesh_terms: 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
chemical_list: D005938:Glucocorticoids; D003042:Cocaine