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Journal of Korean Neurosurgical Society > Volume 45(5); 2009 > Article
Journal of Korean Neurosurgical Society 2009;45(5): 312-314.
doi: https://doi.org/10.3340/jkns.2009.45.5.312
Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome.
Jong Tae Kim, Ho Jin Bong, Dong Sup Chung, Young Sup Park
Department of Neurosurgery, Our Lady of Mercy Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea. loverealbong@hanmail.net
ABSTRACT
Brown-Sequard syndrome may be the result of penetrating injury to the spine, but many other etiologies have been described. This syndrome is most commonly seen with spinal trauma and extramedullary spinal neoplasm. A herniated cervical disc has been rarely reported as a cause of this syndrome. We present a case of a 28-year-old male patient diagnosed as large C3-C4 disc herniation with spinal cord compression. He presented with left hemiparesis and diminished sensation to pain and temperature in the right side below the C4 dermatome. Microdiscectomy and anterior cervical fusion with carbon fiber cage containing a core of granulated coralline hydroxyapatite was performed. After the surgery, rapid improvement of the neurologic deficits was noticed. We present a case of cervical disc herniation producing acute Brown-Sequard syndrome with review of pertinent literature.
Key Words: Brown-Sequard syndrome; Cervical disc herniation; Microdiscectomy; Anterior cervical fusion
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