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What is Brown-Séquard Syndrome?
Brown - Séquard Syndrome is a disorder due to incomplete spinal electric cord wound where one half of the body may lose normal power or may be paralyzed while the other half of the body loses its normal sensation . Brown - Séquard Syndrome is not vulgar and is cause by any kind of injury to the spine in the area of the neck opening or back . In Brown - Séquard Syndrome , the affected someone loses the sense of touch , vibrations and posture in three dimensions below the layer of the injury , which is call hemiparalysis . The deprivation of sensation is ipsilateral , while release of sentiency of temperature and pain , which is experience as hypalgesia in aesculapian nomenclature , accompanies on the other side of the body ( contralateral ) .
Symptoms of Brown-Séquard Syndrome
The following are the primary symptom of Brown - Séquard Syndrome –
Prognosis of Brown-Séquard syndrome
The prognosis for somebody with Brown - Séquard Syndrome varies contingent on the cause of the disorder . Almost 90 % of people suffering from Brown - Séquard Syndrome recover bladder & bowel dominance and over 80 % regain the ability to walk at least partially .
Causes of Brown-Séquard Syndrome
The principle causes of Brown - Séquard Syndrome are as observe –
Pathophysiology of Brown-Séquard Syndrome
A gross Brown - Séquard syndrome with hemi - subdivision of the spinal electric cord seldom come . Hemi - section of the chord creates lesion on the following neural organisation –
Diagnosis of Brown-Séquard Syndrome
mainly , Brown - Séquard Syndrome is diagnosed by detecting motor palsy on ipsilateral side of the injury and deficit in pain and temperature sensation on contralateral side of the wound . This observational diagnosis is follow by some image examination as given below –
Differential Diagnosis of Brown-Séquard Syndrome
In absolute majority of spot , diagnosis of Brown - Séquard Syndrome is made on the basis of presenting history and scan reports . As most of the causa are because of injury , it is important to undertake differential diagnosis with respect to nearly resemble diseases when there is no account of trauma . The differential diagnosing to be over - ruled for the diagnosis of this consideration is –
Treatments of Brown-Séquard Syndrome
At the start of treatment for Brown - Séquard syndrome , a taxonomical assessment , let in neurological investigation , is perform to establish the level of injury . There is no specific treatment procedure available for Brown - Séquard syndrome . Treatment gives attention on the underlying causal agency of the syndrome . Some drugs are applied that control motor neuron upset . gimmick that help to continue twenty-four hour period - to - day activeness such as mitt rip , arm supports , or a wheelchair are used whenever necessary for patients stand from Brown - Séquard Syndrome . Various other aids for the patient with a difficulty in breathing or swallowing are also applied . Other treatment for Brown - Séquard syndrome is symptomatic and supportive like the keep abreast ones –
It is known that partial spinal cord injury make walking very problematical . researcher these daylight are trying to estimate the consequence of treadwheel f number on spinal cord function and walking carrying out .
Complications of Brown-Séquard Syndrome
Untreated Brown - Séquard syndrome may bring other complications like the following ones :
Brown - Séquard syndrome is a rare condition that grows out of certainspinal corduroy injury . Such combat injury may be cause by any other diseases like tumor or vesicle in the spinal cord or may be triggered by an accident . It partly or completely paralyze one side of the body on the same side as the lesion in the spinal electric cord , while on the opposite side of the lesion the affected person drop off genius of temperature , sensation of vibration and capacitance to understand the position of a body . Brown - Séquard syndrome needs perfect diagnosis through the discipline of symptoms , scan report and differential diagnosis method . former discussion cures many of the symptom almost completely and enables the patient to lead a normal life once again . Physical therapyand rehabilitation is of farthest importance in this case .
References :
Brown - Sequard Syndrome after an Accidental Stab Injury of Cervical Spine : A Case Report . Park SD , Kim SW , Jeon I. Korean J Neurotrauma . 2015 Oct;11(2):180 - 2 .
Intramedullary spinal corduroy metastasis from colonic carcinoma presenting as Brown - Séquardsyndrome : a case report . Kaballo MA , Brennan DD , El Bassiouni M , Skehan SJ , Gupta RK . J Med Case Rep. 2011 Aug 2;5:342 . doi : 10.1186/1752 - 1947 - 5 - 342 .
Brown - Sequard syndrome produced by calcified herniated cervical disc and posterior vertebral osteophyte : Case report .
Guan D , Wang G , Clare M , Kuang Z. J Orthop . 2015 Oct 29;12(Suppl 2):S260 - 3 .
Spontaneous cervical extradural hematoma presenting as brownish - sequard syndrome follow repetitive korean traditional deep prow .
Seon HJ1 , Song MK , Han JY , Choi IS , Lee SG .
Ann Rehabil Med . 2013 Feb;37(1):123 - 6 .
Transdural spinal corduroy herniation : mental imagery and clinical spectrum .
Watters MR1 , Stears JC , Osborn AG , Turner GE , Burton BS , Lillehei K , Yuh WT .
AJNR Am J Neuroradiol . 1998 Aug;19(7):1337 - 44 .