Brown Sequard Syndrome Secondary to a Spontaneous Cervical Epidural Hematoma - A Rare Entity.
BACKGROUND
Brown Sequard syndrome resulting from compression due to an epidural hematoma is a relatively rare occurrence, more so with a spontaneous history. We report one such case.


METHODS
We present a 65yr old female presenting with hemiplegia with contralateral anesthesia. Magnetic resonance imaging showed a hematoma in the epidural space in the C3-C4 region. She underwent an open door laminoplasty for evacuation of the hematoma. Following surgery the patient responded rapidly and currently at 18 months follow up she is neurologically grade 5/5 with normal sensations.


CONCLUSIONS
In the emergency room when a patient is clinically diagnosed as a case of Brown Sequard syndrome it is important to ask for an MRI scan of the cervical spine. Hematoma in the cervical epidural space should be considered in the differential diagnosis of Brown Sequard syndrome especially in the elderly with history of doubtful trivial trauma.
Department of Orthopaedics Sir Ganga Ram Hospital New Delhi, India.
Shuvendu Prosad
SP
Roy
Department of Orthopaedics Sir Ganga Ram Hospital New Delhi, India.
Nikunj
N
Agrawal
Brown Sequard syndrome; Cervical epidural hematoma; Magnetic Resonance Imaging