The daily educational pearl – Brown-Sequard syndrome

Brown-Sequard syndrome

Usually due to trauma and transsection of the hemicord.

Signs:

ipsilateral paralysis below the level of the lesion

ipsilateral loss of pain and pinprick at the level of the lesion

ipsilateral loss of vibration and position sense below the level of the lesion

contralateral loss of pain and temperature below the level of the lesion

ipsilateral hyperreflexia