A case of brown-séquard syndrome caused by thoracic disc herniation
Brown-séquard syndrome(BSS)refers to incomplete spinal cord injury caused by external compression or internal lesions,resulting in characteristic clinical manifestations and signs.It is manifested as upper motor neuron paralysis of the ipsilateral limb below the injury level,deep sensation and fine touch disorders,vasomotor dysfunction,disappearance of pain and temperature sensation in the contralateral limb below the injury level,and unaffected muscle strength.There are many reasons for this syndrome,but relatively few are caused by intervertebral disc herniation.This article introduces a 63-year-old female patient who presented with acute onset of BSS in clinical practice.After completing brain and spinal cord magnetic resonance imaging examinations,the cause was determined.It was considered that thoracic spinal cord injury was caused by improper bending due to intervertebral disc herniation.Under the treatment of hormones,sodium aescinate and other medications,surgical decompression,and postoperative rehabilitation,the patient recovered to a normal state.Through this case,we have further deepened our understanding of the BSS,affirmed the role of MRI in clear diagnosis,consolidated the role of hormones in the treatment of spinal cord injury,and also realized the necessity of surgical decompression for patients who need surgical treatment as soon as possible.
万方数据
维普
