Brown-Séquard syndrome by double level cervical disc herniation: case report and review of the literature

Jorge Miguel Silva Ribeiro Olliveira Alves Paulo Peixoto Nuno Ferreira Rui Martins João Correia Fernando Silva Carlos Sousa

This article presents a case in which Brown-Séquard syndrome resulted from a double level cervical disc herniation. A 40-year-old man without previous history of cervical pathology, presented with insidious right arm and leg paresis associated with associated with decreased pain and thermal sensitivity in the left hemibody after diving which caused indirect trauma of the cervical spine. Magnetic resonance imaging of the cervical spine showed double level disc herniation in C4-C5 and C5-6 with compression of the right half of spinal cord and hyperintensity in T2-weighted images. After a complete decompression of neural structures, a double level interbody fusion was performed. There was partial recovery of neurological status after a long period of physical therapy. Early surgical intervention and prompt rehabilitation are paramount to achieve neurological recovery in patients with Brown-Séquard syndrome resulting from a cervical disc herniation.

Intervertebral disc displacement; Brown-Séquard syndrome; Arthrodesis; Cervical vertebrae

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