Mystery Case: Brown-Sequard syndrome caused by idiopathic spinal cord herniation
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Citações na Scopus
5
Tipo de produção
article
Data de publicação
2016
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Citação
NEUROLOGY, v.87, n.4, p.E34-E35, 2016
Resumo
A 48-year-old man developed numbness in the left leg, which progressed gradually to paresis and urinary incontinence. Neurologic examination revealed a left Brown-Sequard syndrome with leg paresis, mild spasticity, reduced proprioception, and contralateral thermal and painful hypoesthesia below T6. MRI revealed a thoracic spinal cord herniation (SCH) (figure). Idiopathic SCH is relatively rare. Pathogenesis involves a dura mater defect (see video on the Neurology (R) Web site at Neurology.org); herniation develops over a progressive pressure gradient through the dural fissure.(2) Surgical reduction is typically performed if symptoms progress, but mild symptoms may be eligible for conservative treatment and monitoring. Surgical spinal reduction and dural repair usually reverses neurologic deficits.
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Referências
- Corbetto M, 2014, NEUROLOGY, V82, P1476, DOI 10.1212/WNL.0000000000000334
- Najjar MW, 2004, SURG NEUROL, V62, P161, DOI 10.1016/j.surneu2003.10.030