A Case Of Cervical Disc Herniation Presented With Brown-Sequard Syndrome
Journal Title: Journal of Neurological Sciences-Turkish - Year 2005, Vol 22, Issue 2
Abstract
The Brown-Sequard syndrome is most commonly seen with spinal trauma. A herniated servical disc has rarely been considered to be a cause of Brown-Sequard syndrome. We presented a 46-year-old man with 2 weeks history of pain in the neck and right arm. On neurologic examination revealed Brown-Sequard syndrome. Magnetic resonance imaging of the cervical spine showed a large right extradural lateral C4-5 disc herniation. The simple discectomy was performed to C4-5 by standart microsurgical anterior approach. On the second postoperative day, right hemiparesis completely recovered. A follow-up examination at 1 month revealed a slight residual diminishing of pain and temperature sensitivity in the left leg. Brown-Sequard syndrome caused by ekstradural cervical disk herniation is an extremely rare condition. Early surgical treatment is recomended in cervical disk herniation causing Brown-Sequard syndrome. Cervical disc herniation is one of the disorders which must be remembered in the differential diagnosis of patients presented with Brown-Sequard syndrome. By rewiev of the literature, prognostic factors in cervical disk herniation causing Brown-Sequard syndrome was evaluated.
Authors and Affiliations
Ferda CAGAVI, Murat KALAYCI, Zeynep CAGAVI, Huseyin ATASOY, Aslan OZER, Nejat DEMIRCAN, Bektas ACIKGOZ
Keywords
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