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Spinal Cord Stab Injury Associated with Modified Brown-Séquard Syndrome Symptoms – A Case Review and Literature Overview


Authors: V. Přibáň;  J. Fiedler
Authors‘ workplace: Neurochirurgické oddělení, Nemocnice České Budějovice, primář: MUDr. V. Chlouba
Published in: Rozhl. Chir., 2010, roč. 89, č. 4, s. 220-222.
Category: Monothematic special - Original

Overview

Authors present case-report of young man with incomplete spinal cord injury after penetrating stab wound. Knife blade entered the skin in the level C3/4 in the back of the neck and directed to the right and downward. Both dorsal spinal cord columns and right half of spinal cord were transected. Neurological presentation was Brown-Séquard syndrome combined with dorsal columns syndrome. Wound revision was performed followed by dural closure. 18 month after injury significant neurological improvement of right hemiparesis was recorded and the patient is self-sufficient. Spinal cord stab wounds are rare. Typical clinical symptomatology is incomplete spinal cord injury. Clinical improvement of Brown-Séquard syndrome in our patient entirely corelates with literature.

Key words:
spinal cord injury – penetrating – Brown-Séquard syndrome


Sources

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Labels
Surgery Orthopaedics Trauma surgery
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