Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring.

被引：7
作者：
Julio Urrutia
Ricardo Fadic
机构：
[1] Department of Orthopaedic Surgery, Pontificia Universidad Catolica de Chile, Marcoleta 352, Santiago
来源：
European Spine Journal | 2012年 / 21卷 / Suppl 4期
关键词：
Brown-Sequard syndrome; Cervical disc herniation; Motor-evoked potentials; Neuromonitoring;
D O I：
10.1007/s00586-011-1881-8
中图分类号：
学科分类号：
摘要：
Brown-Sequard syndrome is an incomplete spinal cord lesion characterized by ipsilateral loss of motor function and contralateral loss of pain and temperature sensitivity, reflecting a hemi-compression or hemi-section of the spinal cord. Cervical disc herniation is an exceptional cause of this syndrome. We report a case of cervical disc herniation causing Brown-Sequard syndrome in a patient with an unusually rapid neurological deterioration associated to cervical extension, which was documented by neuromonitoring. A prompt diagnosis, followed by spinal cord decompression should be warranted. Intraoperative neuromonitoring is a useful tool in preservation of neurologic function in these cases.
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收藏
页码：S418 / 421
页数：3
相关论文
共 53 条
[1]  
Stookey B(1928)Compression of the spinal cord due to ventral extradural cervical chondromas: diagnosis and surgical treatment Arch Neurol Psychiatry 20 275-291
[2]  
Antich PA(1999)High cervical disc herniation and Brown-Sequard syndrome. A case report and review of the literature J Bone Joint Surg Br 81 462-463
[3]  
Sanjuan AC(2000)Intradural cervical disc herniation. Case report and review of the literature J Neurosurg 92 221-224
[4]  
Girvent FM(2000)Intradural cervical disc herniation and Brown-Sequard’s syndrome. Report of three cases and review of the literature J Neurosurg 92 236-240
[5]  
Simo JD(1992)Brown-Sequard syndrome and herniated cervical disc Spine (Phila Pa 1976) 17 598-600
[6]  
Borm W(2001)Cervical intradural disc herniation Spine (Phila Pa 1976) 26 698-702
[7]  
Bohnstedt T(2003)Brown-Sequard syndrome produced by cervical disc herniation: report of two cases and review of the literature Spine J 3 530-533
[8]  
Clatterbuck RE(2004)Cervical disc herniation producing Brown-Sequard syndrome: case report Spine (Phila Pa 1976) 29 E28-E31
[9]  
Belzberg AJ(1982)Intradural herniated cervical disc. Case report J Neurosurg 57 278-280
[10]  
Ducker TB(2008)Brown-Sequard syndrome produced by C3–C4 cervical disc herniation: a case report and review of the literature Spine (Phila Pa 1976) 33 E279-E282
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