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Spinal Cord Hemisection
Aka: Spinal Cord Hemisection, Brown-Sequard Syndrome, Hemicord Syndrome, Hemiparaplegic Syndrome
- See Also
- Complete Cord Syndrome
- Central Cord Syndrome
- Anterior Cord Syndrome
- Posterior Cord Syndrome
- Spinal Cord Syndrome
- Cervical Spine Injury
- Epidemiology
- Rare Spinal Injury
- Pathophysiology
- Unilateral (hemi-cord) cord injury affecting the dorsal columns, Corticospinal tract and Spinothalamic Tract
- Spinothalamic Tract crosses to the contralateral side (giving the crossed effects)
- Images

- Causes
- Penetrating Trauma (most common)
- Blunt spinal cord injury
- Disc Herniation
- Epidural Hematoma
- Decompression Sickness complication
- Signs
- Ipsilateral motor weakness
- Ipsilateral proprioception and vibratory sensation loss below the lesion
- Contralateral pain and Temperature sensation loss starting two levels below the lesion
- Associated Conditions
- Horner Syndrome
- Prognosis
- Poor prognosis for functional improvement
- References
- Decker in Chorley and Bachur (2014) Overview of Cervical Spinal Cord Injuries..., UpToDate, Wolters-Kluwer
- Wagner (1997) Emerg Med Clin North Am 15:699-711 [PubMed]