Traumatic Brown-Séquard-plus syndrome.
BACKGROUND
In the 1840s Brown-Séquard described the motor and sensory effects of sectioning half of the spinal cord. Penetrating injuries can cause Brown-Séquard or, more frequently, Brown-Séquard-plus syndromes.


OBJECTIVE
To report the case of a 25-year-old man who developed left-sided Brown-Séquard syndrome at the C8 level and left-sided Horner syndrome plus urinary retention and bilateral extensor responses following a stab wound in the right side of the neck.


RESULTS
Magnetic resonance imaging demonstrated a low cervical lesion and somatosensory evoked potentials confirmed the clinical finding of left-side dorsal column disturbance. At follow-up, the patient's mobility and bladder function had returned to normal.


CONCLUSIONS
This patient recovered well after a penetrating neck injury that disturbed function in more than half the lower cervical spinal cord (Brown-Séquard-plus syndrome).
McCarron
M O
MO
Department of Neurology, Quin House, Royal Victoria Hospital, Belfast BT12 6BA, Northern Ireland. mark.mccarron@royalhospitals.n-i.nhs.uk
Flynn
P A
PA
Pang
K A
KA
Hawkins
S A
SA
D000328:Adult; D018437:Brown-Sequard Syndrome / Q000209:etiology*; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000209:etiology; D013119:Spinal Cord Injuries / Q000209:etiology*; D014951:Wounds, Stab / Q000150:complications*