臂丛神经撕脱损伤后的急性布朗-塞卡尔综合征两个临床病例报告.pdfVIP

Hong Kong Journal of Emergency Medicine Acute Brown-Séquard syndrome following brachial plexus avulsion inj ury. A report of two cases - M Zubair, T Ravindran, CYW Chan , LB Saw , MK Kwan Introduction: Brown-Séquard syndrome is an unusual sequelae of pre-ganglionic brachial plexus inj ury. There have been sporadic case reports indicating that the cause of this condition is due to tethering of the cord, vascular ischaemia or direct avulsion inj ury of the nerve roots. This is a report of two patients with complete pre-ganglionic brachial plexus avulsion inj uries who developed acute partial Brown-Séquard syndrome due to haematoma. Cases: Two patients developed acute partial Brown-Séquard syndrome associated with complete pre-ganglionic brachial plexus avulsion injuries. In the first case the neurology recovered fully after the evacuation of the large subdural hematoma. Whereas, in the second case the neurology only recovered after 4 weeks closed observation in view of the compression was due to small epidural haematoma. Conclusion: Acute Brown-Séquard syndrome occurring in association brachial plexus injury should be investigated with urgent magnetic resonance imaging to exclude any reversible haematoma compression. (Hong Kong j .emerg. med. 20 11; 18:347-35 1) Keywords: Brown-Séquard paralysis, haematoma, hemispinal cord syndrome, paraplegia, radiculopathies