title: Cervical disc herniation manifesting as a Brown-Sequard syndrome.
abstract: Brown-Sequard syndrome is commonly seen in the setting of spinal trauma or an extramedullary spinal neoplasm. The clinical picture reflects hemisection of the spinal cord. We report a rare case of Brown-Sequard syndrome caused by a large cervical herniated disc. A 63-year-old man presented with progressive right hemiparesis and disruption of pain and temperature sensation on the left side of the body. Magnetic resonance imaging showed large C3-C4 disc herniation compressing the spinal cord at that level, with severe canal stenosis from C4 through C7. Decompressive cervical laminoplasty was performed. After surgery, complete sensory function was restored and a marked improvement in motor power was obtained.
authors.affiliation: Department of Neurosurgery, Takeda General Hospital, Fushimi, Kyoto, Japan.
authors.forename: Kunio
authors.initials: K
authors.lastname: Yokoyama
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kawanishi
authors.forename: Makoto
authors.initials: M
authors.lastname: Yamada
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kuroiwa