颈髓交界处穿透伤后伴霍纳综合征的布朗-塞卡尔综合征
Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction.
作者信息
García-Manzanares M D, Belda-Sanchis J I, Giner-Pascual M, Miguel-Leon I, Delgado-Calvo M, Alió y Sanz J L
机构信息
Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Spain.
出版信息
Spinal Cord. 2000 Nov;38(11):705-7. doi: 10.1038/sj.sc.3101062.
STUDY DESIGN
Case report of a 21-year-old man that had concurrence of Brown-Sequard syndrome and Horner's syndrome after a penetrating trauma in the neck.
OBJECTIVES
This report analyzes the location of lesions that cause a combination of Horner's and Brown-Sequard syndrome. It is important to know the anatomic structure of spinal cord and the sympathetic nerve chain.
SETTING
Spinal Cord Unit, Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Instituto Oftalmologico de Alicante, Alicante, Spain.
METHODS
Description of a single patient case report.
RESULTS
The clinical findings and MRI showed a good correlation. The Horner's syndrome was confirmed with a 4% cocaine test. The patient received a conservative treatment with high-dose steroid therapy (NASCIS-3).
CONCLUSION
The patient presented with Brown-Sequard syndrome and Horner's syndrome. Clinical examination and MRI made a quick and correct diagnosis. The patient recovered completely after the conservative treatment.
研究设计
一名21岁男性在颈部穿透性创伤后并发布朗 - 塞卡尔综合征和霍纳综合征的病例报告。
目的
本报告分析导致霍纳综合征和布朗 - 塞卡尔综合征合并出现的病变位置。了解脊髓和交感神经链的解剖结构很重要。
地点
西班牙巴伦西亚拉费医院物理医学与康复科脊髓病房、阿利坎特眼科研究所。
方法
对单个病例报告进行描述。
结果
临床发现与磁共振成像显示出良好的相关性。通过4%可卡因试验确诊为霍纳综合征。患者接受了大剂量类固醇疗法（国家急性脊髓损伤研究 - 3方案）的保守治疗。
结论
该患者表现为布朗 - 塞卡尔综合征和霍纳综合征。临床检查和磁共振成像做出了快速且正确的诊断。患者经保守治疗后完全康复。
Zotero 插件