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https://www.readbyqxmd.com/read/28343313/spontaneous-cervical-intradural-disc-herniation-presenting-with-brown-s%C3%A3-quard-and-horner-s-syndrome-lesson-learned-from-a-very-unique-case
#1
Irene Baudracco, Gordan Grahovac, Vittorio M Russo
PURPOSE: Cervical spontaneous intradural disc herniation (IDH) is an extremely rare condition. We describe a unique case of a patient presenting with a Brown-Séquard syndrome (BSS) and Horner's syndrome (HS). This study aimed to report an unusual case of spontaneous cervical intradural disc herniation that presented with Horner's and Brown-Séquard syndrome (BSS) and discuss difficulties in preoperative diagnosis and treatment difficulties of intradural cervical disc. METHODS: Notes and images review, and analysis of the relevant literature...
March 25, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28202820/-clinical-manifestations-of-spinal-epidural-hematoma-stroke-mimic-and-pitfalls-in-diagnosis
#2
Masaru Kuriyama
Clinical manifestations of spinal epidural hematoma are presented, and the cases mimicking acute ischemic stroke have been reviewed from the literature. Many reports described the cases of spinal epidural hematoma with acute hemiparesis mimicking ischemic stroke in which intravenous thrombolytic treatment with recombinant tissue plasminogen activator was considered. A correct diagnosis of acute ischemic stroke must be made within 4.5 hours from the onset of symptoms, a relatively short window period. A spinal epidural hematoma is a potentially important stroke mimic in a wide variety of conditions that mimic a stroke...
February 2017: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/27926670/clinical-and-radiographical-differences-between-thoracic-idiopathic-spinal-cord-herniation-and-spinal-arachnoid-cyst
#3
Hiroaki Nakashima, Shiro Imagama, Hideki Yagi, Fumihiko Kato, Tokumi Kanemura, Koji Sato, Noriaki Kawakami, Mitsuhiro Kamiya, Hisatake Yoshihara, Kenyu Ito, Yukihiro Matsuyama, Yoshihiro Nishida, Naoki Ishiguro
STUDY DESIGN: Retrospective multicenter case-controlled study OBJECTIVE.: The aim of this study was to investigate the clinical and radiographical differences between thoracic idiopathic spinal cord herniation (ISCH) and spinal arachnoid cyst (SAC). SUMMARY AND BACKGROUND DATA: ISCH and SAC are relatively rare diseases. Preoperative misdiagnose was frequently reported in both, however these clinical and radiographical differences remain unclear. METHODS: Out of 30,469 patients who underwent spinal surgery, 18 (0...
December 6, 2016: Spine
https://www.readbyqxmd.com/read/27872169/myelopathy-chameleons-and-mimics
#4
Lionel Ginsberg
The diagnosis of spinal cord disease may be delayed or missed if the presentation does not conform to the expected pattern of a symmetrical spastic paraparesis with sphincter dysfunction and a sensory level. This may occur when a myelopathy has yet to evolve fully, or is highly asymmetrical, as in Brown-Séquard syndrome. Other potential distractions include fluctuating symptoms, as may accompany spinal cord demyelination, and pseudoneuropathic features, as seen acutely in spinal shock and in the chronic setting with some high cervical cord lesions...
January 2017: Practical Neurology
https://www.readbyqxmd.com/read/27867117/extramedullary-cavernous-hemangioma-with-intradural-and-extradural-growth-and-clinical-symptoms-of-brown-s%C3%A3-quard-syndrome-case-report-and-review-of-the-literature
#5
Bryndís Baldvinsdóttir, Gígja Erlingsdóttir, Ólafur Kjartansson, Ingvar Hákon Ólafsson
BACKGROUND: Primary spinal tumors are rare. Symptoms depend on the size and location of the tumor. CASE DESCRIPTION: A patient presented with a rare clinical finding, Brown-Séquard syndrome. The symptoms were caused by an extramedullary tumor compressing on the thoracic spinal cord. Pathologic examination showed cavernous hemangioma with growth both intradurally and extradurally. CONCLUSIONS: This is an extremely rare finding; to our knowledge, only 1 case report has been published before in which a spinal cavernous hemangioma had intradural and extradural growth...
February 2017: World Neurosurgery
https://www.readbyqxmd.com/read/27833524/idiopathic-spinal-cord-herniation-a-case-report
#6
Abdullah Alkhamees, Francois Proust
Idiopathic spinal cord herniation (ISCH) is a rare cause of progressive spinal myelopathy, which frequently presents as Brown-Sequard syndrome. A 50 year old woman consulted for difficulty in walking. On examination, the patient reported sensory deficit of temperature on the left side, associated with diminished anal sensitivity. Nine months before consultation, a walking disorder began disturbing the activities of everyday life. A single case report with surgical treatment outcome. Idiopathic spinal cord herniation is a potentially treatable condition, which should be diagnosed early and treated...
October 2016: International Journal of Health Sciences
https://www.readbyqxmd.com/read/27813449/spinal-cord-herniation-repair-with-microstaples-case-report
#7
Pedro David Delgado-López, Cecilia Gil-Polo, Vicente Martín-Velasco, Javier Martín-Alonso, Ana María Galacho-Harriero, Elena Araus-Galdós
Idiopathic spinal cord herniation (ISCH) is a relatively rare and frequently misdiagnosed condition. It preferentially affects women and causes progressive thoracic myelopathy that presents as a Brown-Séquard syndrome or as spastic paraparesis. Although its etiology and pathogenesis are controversial, ISCH is characterized by the presence of an anterior dural defect that allows the incarceration of a segment of the cord. Typically, a C-shaped ventral displacement and kinking of the cord are visible on sagittal MRI...
March 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27765829/teaching-neuroimages-one-and-a-half-brown-s%C3%A3-quard-syndrome-when-spinal-neuroanatomy-helps-localize-the-lesion
#8
Giovanni Cirillo, Vincenzo Todisco, Gioacchino Tedeschi
No abstract text is available yet for this article.
October 11, 2016: Neurology
https://www.readbyqxmd.com/read/27701004/cervical-fracture-from-chronic-steroid-usage-presenting-as-a-stroke-a-case-report
#9
Christian Fisahn, Marc D Moisi, Shiveindra Jeyamohan, Mary Wingerson, R Shane Tubbs, Charles Cobbs, Rod J Oskouian, Jens R Chapman
INTRODUCTION: Misdiagnosis of Brown-Séquard-like presentations can delay treatment; potentially endangering the positive outcomes a patient might otherwise have had. Stroke mimics can be perceived as signaling the end of urgent investigation and care once stroke is ruled out; however, stroke mimics themselves can require prompt care. Herein, we discuss an extremely rare case where stroke was ruled out, resulting in a lapse in care that lead to an exacerbated hemiparesis over the following week...
September 29, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27673193/poster-443-diving-injury-resulting-in-a-jefferson-fracture-vertebral-artery-thrombosis-and-brown-sequard-syndrome-a-case-report
#10
Rafael E Arias-Berrios, Shirley A Grigg Ortiz, Natalia M Betances Ramírez, Ana M Ortiz Santiago, José A Báez
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27593715/acquired-spinal-arteriovenous-fistula-presenting-as-brown-s%C3%A3-quard-syndrome-and-endovascular-treatment-outcome
#11
Rizvi Humaira, Chiu Yuen To, Shyam Moudgil, Richard Fessler
BACKGROUND: Brown-Séquard syndrome is typically caused by penetrating trauma to the cervical spinal cord; however, other compressive and vascular occlusive etiologies have been previously described. It is extremely uncommon to have a delayed presentation as an extramedullary compressive lesion from the venous varix of an acquired spinal arteriovenous fistula. CASE DESCRIPTION: We present a case of a patient in the fifth decade of life, with a remote history of gunshot wound to the left thorax with progressive left-sided weakness and contralateral pain and temperature sensory loss secondary to cord compression from an acquired spinal arteriovenous fistula...
September 2, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27487695/-transdural-spinal-cord-herniation-a-rare-cause-of-brown-sequard-syndrome
#12
M Beltran, H Salame, M Ricker, Ph Voordecker, F Lefranc
We report a rare case of thoracic spinal cord herniation due to a defect of the anterior dura mater causing a progressive myelopathy. This case, illustrated by magnetic resonance and surgical imageries, will make the reader aware of this entity and then prevent misdiagnosis.
March 2016: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/27462042/mystery-case-brown-s%C3%A3-quard-syndrome-caused-by-idiopathic-spinal-cord-herniation
#13
Erich Talamoni Fonoff, William Omar Contreras Lopez, Manoel Jacobsen Teixeira
No abstract text is available yet for this article.
July 26, 2016: Neurology
https://www.readbyqxmd.com/read/27298881/brown-sequard-syndrome-secondary-to-a-spontaneous-cervical-epidural-hematoma-a-rare-entity
#14
Shuvendu Prosad Roy, Nikunj Agrawal
INTRODUCTION: Brown Sequard syndrome resulting from compression due to an epidural hematoma is a relatively rare occurrence, more so with a spontaneous history. We report one such case. CASE REPORT: We present a 65yr old female presenting with hemiplegia with contralateral anesthesia. Magnetic resonance imaging showed a hematoma in the epidural space in the C3-C4 region. She underwent an open door laminoplasty for evacuation of the hematoma. Following surgery the patient responded rapidly and currently at 18 months follow up she is neurologically grade 5/5 with normal sensations...
October 2012: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27169090/brown-sequard-syndrome-after-an-accidental-stab-injury-of-cervical-spine-a-case-report
#15
Soo Dong Park, Sang Woo Kim, Ikchan Jeon
We report a case of Brown-Sequard syndrome (BSS) caused by an accidental stab injury of the cervical spine that shows clear magnetic resonance imaging (MRI) findings and clinical presentation. A 42-year-old woman was brought into the emergency department after a stab injury on the right side of the posterior neck from a knife that was lying in a fruit basket after slipping. The patient complained of hemiparesis of the right-side extremities, and ipsilateral hypoesthesia and contralateral sensory loss of pain and temperature were also found on neurological examination...
October 2015: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27148557/rat-model-of-chronic-midthoracic-lateral-hemisection
#16
Victor Arvanian
Although most spinal cord injuries (SCI) are anatomically incomplete, only limited functional recovery has been observed in people and rats with partial lesions. To address why surviving fibers cannot mediate more complete recovery, it is important to evaluate the physiological and anatomical status of spared fibers. These experiments require use of animal models. Here we describe a midthoracic unilateral spinal cord hemisection (HX; corresponds to Brown-Sequard lesion in humans) in adult rats. This is a useful animal model for partial injuries because there is a clear lesion of one entire side of the cord with intact fibers remaining on the contralateral side...
September 20, 2013: Bio-protocol
https://www.readbyqxmd.com/read/27114679/penetrating-spinal-cord-injury-with-screwdriver-in-situ-leading-to-brown-sequard-syndrome
#17
Ugan Singh Meena, Rashim Kataria, Kanchan Sharma, V R Sardana
No abstract text is available yet for this article.
April 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/27047233/brown-sequard-syndrome-produced-by-calcified-herniated-cervical-disc-and-posterior-vertebral-osteophyte-case-report
#18
Dawei Guan, Guanjun Wang, Morgan Clare, Zhengda Kuang
Brown-Sequard syndrome (BSS) produced by cervical disc disorders has rarely been seen clinically and only 50 cases have been reported in English literatures. However, most of which have resulted from acute disc herniation. Here, we report a case of BSS produced by calcified herniated C4-C5 disc and posterior vertebral osteophyte, in which decompression through anterior approach was performed. This case revealed the potential of cervical spondylopathy leading to BSS in a chronic manner. Once the diagnosis is established, it is advisable to perform decompression as early as possible...
December 2015: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27035676/silas-weir-mitchell-neurologists-and-neurology-during-the-american-civil-war
#19
François Boller, Daniel Birnbaum
With few exceptions, neurology was nonexistent in the United States until the Civil War years. From 1861 to 1865, the United States saw a bitter armed conflict between the North (the Union) and the South (the Confederate States or Confederacy), and during those years, neurology was born in the United States. In 1861, Silas Weir Mitchell, together with George Morehouse and William Keen, opened and operated the first neurological hospital in Philadelphia, with the backing of the Surgeon General William Hammond...
2016: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/26921137/progressive-brown-s%C3%A3-quard-syndrome-a-rare-manifestation-of-cervical-disc-herniation
#20
Guilherme B F Porto, Lee A Tan, Manish K Kasliwal, Vincent C Traynelis
Brown-Séquard syndrome (BSS) is a rare syndrome and is often described in association with spinal cord injury resulting from hemisection of the spinal cord. BSS due to cervical disc herniation is rare with often delayed diagnosis. The importance of early recognition with imaging cannot be over-emphasized, as the prognosis is better when compared to traumatic and vascular etiologies of BSS. We report a rare case of BBS in an 86-year-old man secondary to cervical disc herniation who had dramatic improvement after surgical intervention...
July 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
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