How do you treat Brown-Sequard?

How do you treat Brown-Séquard?

There is no specific treatment for individuals with Brown-Séquard syndrome. In most instances, treatment focuses on the underlying cause of the disorder. Treatment may involve drugs that control muscle symptoms, and there is some dispute as to whether high-dose steroid administration is effective.

What is Brown-Séquard?

Brown-Sequard syndrome (BSS) is a rare neurological condition characterized by a lesion in the spinal cord which results in weakness or paralysis (hemiparaplegia) on one side of the body and a loss of sensation (hemianesthesia) on the opposite side.

Can you recover from Brown-Séquard syndrome?

People with BSS have a fair chance of recovering some of their function, including walking. Recovery is a slow process, however. It becomes slower throughout three to six months after the onset of the syndrome, and it can take up to two years for ongoing neurological recovery.

Is Brown-Séquard syndrome permanent?

The presentation can be progressive and incomplete. It can advance from a typical Brown-Séquard syndrome to complete paralysis. It is not always permanent and progression or resolution depends on the severity of the original spinal cord injury and the underlying pathology that caused it in the first place.

What causes Brown-Séquard?

There are several causes of Brown-Sequard syndrome, including: a spinal cord tumor, trauma (such as a puncture wound to the neck or back), infectious or inflammatory diseases (tuberculosis or multiple sclerosis), and disk herniation.

How do you test for Brown-Séquard syndrome?

Radiography. Radiographic studies help to confirm the diagnosis and determine the etiology of Brown-Séquard syndrome. Plain films always are required in acute trauma to the spine, but more information usually is obtained by newer techniques. Spinal plain radiographs may depict bony injury in penetrating or blunt trauma …

What causes Hemisection?

Causes. Penetrating Trauma (most common) Blunt spinal cord injury. Disc Herniation. Epidural Hematoma.

Which tract is affected in Brown-Séquard syndrome?

Brown-Séquard syndrome is a neurologic syndrome resulting from hemisection of the spinal cord. It manifests with weakness or paralysis and proprioceptive deficits on the side of the body ipsilateral to the lesion and loss of pain and temperature sensation on the contralateral side.