Henderson S O, Hoffner R J
Department of Emergency Medicine, University of Southern California School of Medicine, Los Angeles, USA.
J Emerg Med. 1998 Nov-Dec;16(6):847-50. doi: 10.1016/s0736-4679(98)00096-1.
Blunt trauma without associated fracture or ligamentous injury is a rare cause of Brown-Sequard syndrome. We report a case of Brown-Sequard syndrome after a direct blow to the cervical spine that did not cause injury to adjacent bone or ligaments. Characteristic neurologic findings, including a unilateral hemiparesis with associated contralateral sensory findings, were noted at the time of presentation. High-dose steroids were instituted after recognition of the patient's injury, and magnetic resonance imaging of the cervical spine revealed a unilateral cord contusion with no associated fractures. After 1 month, the patient had recovered much of his function and was able to ambulate unassisted.
无相关骨折或韧带损伤的钝性创伤是布朗 - 色夸综合征的罕见病因。我们报告一例因颈椎直接受击后发生布朗 - 色夸综合征的病例，此次受击未造成相邻骨骼或韧带损伤。就诊时发现了典型的神经系统表现，包括单侧偏瘫及相关的对侧感觉异常。在确认患者受伤后即开始使用大剂量类固醇治疗，颈椎磁共振成像显示单侧脊髓挫伤，无相关骨折。1个月后，患者大部分功能已恢复，能够独立行走。
