Monday, 22 November 2010

MRCP revision battle 57.5: Brown-Sequard Syndrome

Brown-Sequard Syndrome is caused by a lesion in one half of the cord.

Commonest cause = MS
Other causes:
  • trauma
  • tumour
  • degenerative disease

Result is:
  • ipsilateral UMN weakness below
    • increased reflexes
    • spastic paralysis
  • ipsilateral dorsal column loss
    • loss of proprioception and vibration
  • contralateral spinothalmic loss
    • loss of pain and temperature sensation