DOI QR코드

DOI QR Code

Cervical Disc Herniation as a Cause of Brown-S$\acute{e}$quard Syndrome

  • Choi, Kyeong-Bo (Department of Neurosurgery, Busan Wooridul Spine Hospital) ;
  • Lee, Choon-Dae (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Chung, Dai-Jin (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Lee, Sang-Ho (Department of Neurosurgery, Seoul Wooridul Hospital)
  • Published : 2009.11.28

Abstract

The possible causes of Brown-S$\acute{e}$quard Syndrome (BSS) have been frequently observed with spinal trauma and extramedullary spinal tumors, but the cervical disc herniation to cause BSS is rare. The authors present five cases of patients who were diagnosed with BSS resulting from cervical disc herniation, and the results of the literature in view of their distinctive symptoms and clinical outcomes. Postoperatively, the patients showed complete or almost complete recovery from their motor and sensory deficits. On the basis of our cases, it is important to diagnose it early by cervical magnetic resonance imaging, especially in the absence of the typical symptoms of cervical disc herniation or other obvious etiology of extremity numbness. Immediate surgical treatment is also essential for a favorable functional neurological recovery.

Keywords

References

  1. Antich PA, Sanjuan AC, Girvent FM, Sim$\acute{o}$ JD : High cervical disc herniation and Brown-Séquard syndrome. A case report and review of the literature. J Bone Joint Surg Br 81 : 462-463, 1999 https://doi.org/10.1302/0301-620X.81B3.9134
  2. Barnwell SL, Dowd CF, Davis RL, Edwards MS, Gutin PH, Wilson CB : Cryptic vascular malformation of the spinal cord : diagnosis by magnetic resonance imaging and outcome of surgery. J Neurosurg 72 : 403-407, 1990 https://doi.org/10.3171/jns.1990.72.3.0403
  3. B$\ddot{o}$rm W, Bohnstedt T : Intradural cervical disc herniation. Case report and review of the literature. J Neurosurg 92 : 221-224, 2000
  4. Brown-S$\acute{e}$quard CE : De la transmission des impressions sensitives par la moelle $\acute{e}$pini$\grave{e}$re. CR Soc Biol 1 : 192-194, 1849
  5. Clatterbuck RE, Belzberg AJ, Ducker TB : Intradural cervical disc herniation and Brown-S$\acute{e}$quard’s syndrome. Report of three cases and review of the literature. J Neurosurg 92 : 236-240, 2000
  6. D$\ddot{u}$rig M, Zdrojewski B : [Intrathecal herniation of a cervical disc. A case report (authors’s transl)] Arch Orthop Unfallchir 87 : 151-157, 1977 https://doi.org/10.1007/BF00415203
  7. Eisenberg RA, Bremer AM, Northup HM : Intradural herniated cervical disc : a case report and review of the literature. AJNR Am J Neuroradiol 7 : 492-494, 1986
  8. Finelli PF, Leopold N, Tarras S : Brown-Sequard Syndrome and herniated cervical disc. Spine (Phila Pa 1976) 17 : 598-600, 1992 https://doi.org/10.1097/00007632-199205000-00022
  9. Fujimoto A, Matsumura A, Maruno T, Yasuda S, Nose T : Cervical spondylosis with thoracic level Brown-S$\acute{e}$quard syndrome. J Clin Neurosci 11 : 898-900, 2004 https://doi.org/10.1016/j.jocn.2003.11.018
  10. Iwamura Y, Onari K, Kondo S, Inasaka R, Horii H : Cervical intradural disc herniation. Spine (Phila Pa 1976) 26 : 698-702, 2001 https://doi.org/10.1097/00007632-200103150-00029
  11. Jabbari B, Pierce JF, Boston S, Echols DM : Brown-S$\acute{e}$quard Syndrome and cervical spondylosis. J Neurosurg 47 : 556-560, 1977 https://doi.org/10.3171/jns.1977.47.4.0556
  12. Jomin M, Lesoin F, Lozes G, Thomas CE 3rd, Rousseaux M, Clarisse J : Herniated cervical discs. Analysis of a series of 230 cases. Acta Neurochir (Wien) 79 : 107-113, 1986 https://doi.org/10.1007/BF01407453
  13. Kobayashi N, Asamoto S, Doi H, Sugiyama H : Brown-Sèquard Syndrome produced by cervical disc herniation : report of two cases and review of the literature. Spine J 3 : 530-533, 2003 https://doi.org/10.1016/S1529-9430(03)00078-0
  14. Kohno M, Takahashi H, Yamakawa K, Ide K, Segawa H : Postoperative prognosis of Brown-Séquard-type myelopathy in patients with cervical lesions. Surg Neurol 51 : 241-246, 1999 https://doi.org/10.1016/S0090-3019(98)00119-0
  15. Kraus JA, Stüper BK, Berlit P : Multiple sclerosis presenting with a Brown-Séquard syndrome. J Neurol Sci 156 : 112-113, 1998 https://doi.org/10.1016/S0022-510X(98)00016-1
  16. Mastronardi L, Ruggeri A : Cervical disc herniation producing Brown-Sequard Syndrome : case report. Spine (Phila Pa 1976) 29 : E28-E31, 2004 https://doi.org/10.1097/01.BRS.0000105984.62308.F6
  17. Oller DW, Boone S : Blunt cervical spine Brown-S$\acute{e}$quard injury. A report of three cases. Am Surg 57 : 361-365, 1991
  18. Peacock WJ, Shrosbree, RN, Key AG : A review of 450 stabwounds of the spinal cord. S Afr Med J 51 : 961-964, 1977
  19. Roda JM, Gonzalez C, Bl$\acute{a}$zquez MG, Alvarez MP, Argüello C : Intradural herniated cervical disc. Case report. J Neurosurg 52 : 278-280, 1982
  20. Sani S, Boco T, Deutsch H : Cervical stenosis presenting with acute Brown-S$\acute{e}$quard syndrome. Spine (Phila Pa 1976) 30 : E481-E483, 2005 https://doi.org/10.1097/01.brs.0000174284.08440.1e
  21. Sathirapanya P, Taweelarp A, Saeheng S, Riabroi K : Brown-S$\acute{e}$quard Syndrome from cervical disc herniation : a case report and review of literature. Neurology Asia 12 : 65-67, 2007
  22. Schneider SJ, Grossman RG, Bryan RN : Magnetic resonance imaging of transdural herniation of a cervical disk. Surg Neurol 30 : 216-219, 1988 https://doi.org/10.1016/0090-3019(88)90274-1
  23. Sprick C, Fegers S : Intradural sequestration of cervical intervertebral disk displacement. Nervenarzt 62 : 133-135, 1991
  24. Stookey B : Compression of the spinal cord due to ventral extradural cervical chondromas : diagnosis and surgical treatment. Arch Neurol Psychiatry 20 : 275-291, 1928 https://doi.org/10.1001/archneurpsyc.1928.02210140043003

Cited by

  1. Biomechanical analysis of the spinal cord in Brown-Séquard syndrome vol.6, pp.5, 2009, https://doi.org/10.3892/etm.2013.1286
  2. Progress and prospects in neurorehabilitation: clinical applications of stem cells and brain-computer interface for spinal cord lesions vol.34, pp.4, 2009, https://doi.org/10.1007/s10072-012-1232-5
  3. Acute Brown-Sequard Syndrome Caused by Cervical Prolapsed Intervertebral Disc: First Reported Local Case and Literature Review vol.22, pp.None, 2009, https://doi.org/10.1016/j.jotr.2016.09.002
  4. Incomplete Cord Syndromes: Clinical and Imaging Review vol.38, pp.4, 2009, https://doi.org/10.1148/rg.2018170178
  5. Brown-Séquard Syndrome Caused by Acute Traumatic Cervical Disc Herniation vol.15, pp.2, 2009, https://doi.org/10.13004/kjnt.2019.15.e21