questions 3

Brown-Sequard Syndrome

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Topic updated on 03/14/17 11:04pm

Introduction
  • A unique pathology resulting from hemisection of spinal cord 
  • Review spinal cord neuroanatomy to understand presentation
Presentation
  • Symptoms/Physical exam 
    • ipsilateral 
      • loss of all sensation at level of lesion
      • LMN sign at level of lesion 
      • UMN signs at levels below lesion
        • result of corticospinal tract destruction
      • ipsilateral loss of tactile, vibration, and proprioception sense at levels below lesion
        • result of dorsal column tract destruction
      • ipsilateral Horner's syndrome 
        • if lesion occurs above T1
    • contralateral 
      • loss of pain and temperature sense at levels below lesion
        • result of spinothalamaic tract destruction


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