Foster Michael Atticus, Gridley Daniel Gene, Lettieri Salvatore Carmine, Feiz-Erfan Iman
University of Arizona, College of Science, Tucson.
Department of Radiology, Valleywise Health Medical Center, Phoenix, Arizona, United States.
Surg Neurol Int. 2022 Apr 15;13:150. doi: 10.25259/SNI_897_2021. eCollection 2022.
The association of Brown-Sequard syndrome (BSS) and hangman fracture (HF) is rarely reported.
We present a case of a 28-year-old female with a HF sustained after a motor vehicle accident and BSS. Diagnosis was established based on typical loass of motor function ipsilaterally and loss of pain and temperature sensation contralaterally. Furthermore, magnetic resonance imaging delineated the location of the injury to the right side of the spinal cord at cervical level 2. Near-complete neurological recovery was achieved after anterior fusion and fixation at cervical level 2-3 after 8 months of follow-up.
HF from blunt trauma can be directly associated with BSS. Surgery was effective and associated with a near-complete resolution of symptoms.
布朗 - 色夸综合征（Brown - Sequard syndrome，BSS）与绞刑架骨折（hangman fracture，HF）的关联鲜有报道。
我们报告一例28岁女性，在机动车事故后发生绞刑架骨折并伴有布朗 - 色夸综合征。根据典型的同侧运动功能丧失及对侧痛温觉丧失确诊。此外，磁共振成像确定损伤位于颈2水平脊髓右侧。随访8个月后，在颈2 - 3水平进行前路融合固定术后，神经功能近乎完全恢复。
钝性创伤导致的绞刑架骨折可直接与布朗 - 色夸综合征相关。手术有效，且症状近乎完全缓解。
