Brown-Séquard syndrome

Brown-Séquard syndrome (also known as Brown-Séquard's hemiplegia and Brown-Séquard's paralysis) is a condition that results from damage to one half of the spinal cord, leading to paralysis and loss of proprioception on the same (or ipsilateral) side as the injury or lesion, and loss of pain and temperature sensation on the opposite (or contralateral) side as the lesion.

Causes

Brown-Séquard syndrome is usually caused by a spinal cord injury that impacts only half of the spinal cord. Other causes can include tumors, infections, inflammatory diseases, and vascular diseases.

Symptoms

The symptoms of Brown-Séquard syndrome can vary depending on the exact location and extent of the spinal cord injury. Common symptoms include:

• Weakness or paralysis on one side of the body (hemiplegia)
• Loss of sensation on the opposite side of the body
• Disturbances in bowel and bladder function

Diagnosis

Diagnosis of Brown-Séquard syndrome is typically made based on the characteristic clinical presentation, along with imaging studies such as MRI or CT scan to confirm the presence and location of a spinal cord lesion.

Treatment

Treatment of Brown-Séquard syndrome is primarily supportive and aimed at managing symptoms. This can include physical therapy, occupational therapy, and medications to manage pain and other symptoms. In some cases, surgery may be needed to remove a tumor or relieve pressure on the spinal cord.

Prognosis

The prognosis for Brown-Séquard syndrome can vary widely depending on the cause and extent of the spinal cord injury. Some individuals may experience significant recovery with treatment, while others may have permanent disability.

See also

• Spinal cord injury
• Hemiplegia
• Paralysis

Brown-Séquard syndrome Resources
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