Board Review: Trauma
Sat, 12/15/2018 - 11:16am
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.)