颈椎间盘突出症后伴霍纳综合征的布朗-塞卡尔综合征
Brown-Sequard syndrome associated with Horner syndrome following cervical disc herniation.
作者信息
Meng Yake, Zhou Lili, Liu Xiaodong, Wang Hongrui, Shi Jiangang, Guo Yongfei
机构信息
Department of Spine Surgery, Changzheng Hospital, The Second Military Medical University , Shanghai, People's Republic of China.
Department of Neurology, Changzheng Hospital, The Second Military Medical University , Shanghai, People's Republic of China.
出版信息
Spinal Cord Ser Cases. 2016 Dec 15;2:16037. doi: 10.1038/scsandc.2016.37. eCollection 2016.
INTRODUCTION
Brown-Sequard syndrome (BSS) has been reported in patients with various spinal pathologies, including spinal traumatic injuries, spinal cord neoplasms, epidural hematomas and spinal cord ischemia. Pure BSS caused by cervical disc herniation is very rare.
CASE PRESENTATION
We report a rare case of cervical disc herniation presenting as BSS associated with Horner syndrome (HS), which has not been reported up to now. A prompt diagnosis by magnetic resonance imaging (MRI), followed by spinal cord decompression was performed. A postoperative rapid improvement of the neurological deficits was observed.
DISCUSSION
We review the literature and discuss the functional anatomy of spinal cord of BSS combined with HS. And it is important that clinicians be aware that a MRI of spinal cord is needed for those patients with a thoracic sensory level, and that a thoracic sensory level might not only depend on the level of spinal cord injury but also on the stage of evolution of the lesion.
引言
布朗 - 色夸综合征（Brown - Sequard syndrome，BSS）已在患有各种脊柱病变的患者中被报道，这些病变包括脊柱创伤性损伤、脊髓肿瘤、硬膜外血肿和脊髓缺血。由颈椎间盘突出症引起的单纯性BSS非常罕见。
病例报告
我们报告了一例罕见的颈椎间盘突出症病例，表现为伴有霍纳综合征（Horner syndrome，HS）的BSS，此前尚未见报道。通过磁共振成像（MRI）迅速做出诊断，随后进行了脊髓减压。术后观察到神经功能缺损迅速改善。
讨论
我们回顾了文献，并结合HS讨论了BSS脊髓的功能解剖。临床医生必须意识到，对于有胸段感觉平面的患者需要进行脊髓MRI检查，而且胸段感觉平面可能不仅取决于脊髓损伤的水平，还取决于病变的演变阶段，这一点很重要。
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