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  • Title: Brown-Sèquard syndrome produced by cervical disc herniation: report of two cases and review of the literature.
    Author: Kobayashi N, Asamoto S, Doi H, Sugiyama H.
    Journal: Spine J; 2003; 3(6):530-3. PubMed ID: 14609700.
    Abstract:
    BACKGROUND CONTEXT: Brown-Sèquard syndrome is most commonly seen with spinal trauma and extramedullary spinal neoplasm. A herniated cervical disc has rarely been considered to be a cause of Brown-Sèquard syndrome. PURPOSE: To report and discuss two cases of Brown-Sèquard syndrome produced by herniated cervical disc. STUDY DESIGN/SETTING: Case studies in Japan. PATIENT SAMPLE: The first patient was a 64-year-old man who presented with right leg weakness and diminished sensation to pain and temperature in the left side below the T4 dermatome. The second patient was a 39-year-old man who presented with right-sided weakness and diminished sensation to pain and temperature in the left side below the T6 dermatome. OUTCOME MEASURES: American Spinal Cord Injury Association (ASIA) impairment scale (only our cases). METHODS: These patients were diagnosed to have Brown-Sèquard syndrome produced by herniated cervical disc. Anterior cervical discectomy with fusion was performed for these patients. RESULTS: These cases revealed contralateral deficit in sensation of pain and temperature of more than a few levels below the cord compression, and showed paracentral protruded disc in magnetic resonance images and cervical spinal stenosis in cervical spine X-rays. Postoperatively, motor and sensory function of these patients returned to normal. CONCLUSIONS: Characteristic finding in discogenic Brown-Sèquard syndrome are contralateral deficit in sensation of pain and temperature of more below than a few levels below the cord compression and paracentral protruded disc with cervical spinal stenosis. Outcomes are favorable in rapid diagnosis by magnetic resonance images and performance of anterior approach.
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