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  • Title: Brown-Séquard syndrome associated with Horner's syndrome in cervical epidural hematoma.
    Author: Shen CC, Wang YC, Yang DY, Wang FH, Shen BB.
    Journal: Spine (Phila Pa 1976); 1995 Jan 15; 20(2):244-7. PubMed ID: 7716632.
    Abstract:
    STUDY DESIGN: This report analyzed the likely locations of lesions that cause a combination of Horner's and Brown-Séquard syndromes. One must know the anatomic structure of spinal cord and the sympathetic nerve chain. OBJECTIVES: A hypertensive patient had Brown-Séquard and Horner's syndromes after neck trauma. The magnetic resonance imaging and surgical findings showed the correlation between the clinical symptoms and the likely lesion. METHODS: The patient underwent right hemilaminectomy from C2 to C6 with total removal of hematoma. CONCLUSION: The spinal epidural hematoma rarely is a surgical emergency. The patient presented with Brown-Séquard and Horner's syndromes. Magnetic resonance imaging made a rapid and correct diagnosis. The patient received an emergent right hemilaminectomy from C2 to C6 with removal of hematoma and subsequently made a complete recovery.
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