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