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Brown-Sequard Syndrome Caused by a Large Disc Herniation in C3/4: A Case Report and Review of the Literature | Abstract
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International Journal of Medical Research & Health Sciences (IJMRHS)
ISSN: 2319-5886 Indexed in: ESCI (Thomson Reuters)

Abstract

Brown-Sequard Syndrome Caused by a Large Disc Herniation in C3/4: A Case Report and Review of the Literature

Author(s):Khalid Alsaleh*

Introduction: Brown-Sequard syndrome is uncommon in clinical practice and is very rarely caused by cervical disc herniation. We report a case of Brown-Sequard syndrome due to a disc herniation in C3-C4. Case report: A 39-yearold male presented to the emergency department with neck pain and progressive right hemiparesis. After been initially thought to have a cerebrovascular accident, a thorough assessment and investigation showed he had a left-sided large disc herniation at the level of C3-C4. An urgent C3-C4 anterior cervical discectomy and fusion were performed. He achieved full motor recovery within two weeks after surgery, but some sensory deficits persisted until the last follow-up visit. Conclusion: Due to its rarity, Brown-Sequard syndrome-without a preceding traumatic event- can be confused with other clinical syndromes. A delay in diagnosis and treatment may be detrimental to the outcome. A careful physical exam coupled with a high index of suspicion can provide good outcomes in most cases.


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    Citations : 2979

    International Journal of Medical Research & Health Sciences received 2979 citations as per google scholar report

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