Board Review: Trauma

 

A 23 year old male presents to your emergency department with a stab wound to the right side of his lower back.  Which of the following below would be consistent with Brown-Sequard Syndrome? (scroll down for answer) 

A) Loss of motor function in right leg; loss of temperature sensation in left leg 

B) Loss of motor function in left leg; loss of temperature sensation in left leg 

C) Loss of motor function in right leg; loss of temperature sensation in right leg 

D) Loss of motor function in left leg; loss of temperature sensation in left leg

 

 

 

 

 

 

 

The answer is (A) Loss of motor function in the right leg, loss of temperature sensation in left leg 

  

Brown-Sequard Syndrome Pearls 

  • Hemisection of spinal cord
  • Ipsilateral loss of : motor function, proprioception, vibratory sensation
  • Contralateral loss of : pain and temperature sensation 
  • Most commonly from penetrating injury 
  • Also caused by lateral cord compression (disk protrusion, infections, tumors, etc.)