C-Spine
Spinal Cord Hemisection
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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
Hernia
tion
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]
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