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Spine (Phila Pa 1976). 1995 Jan 15;20(2):244-7.

Brown-Séquard syndrome associated with Horner's syndrome in cervical epidural hematoma.

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1
Department of Surgery and Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China.

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.

PMID:
7716632
[Indexed for MEDLINE]
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