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Keimyung Medical Journal 2014;33(1):44-47.
Published online March 16, 2016.
Cervical Spinal Cord Infarction Presenting Brown-Séquard-plus Syndrome.
Sang Won Park, Seok Kyung Kwon, Jin Suk Kim, Bijoy K. Menon, Jeong Ho Hong, Sung Il Sohn
1Department of Neurology, Daegu Fatima Hospital, Daegu, Korea.
2Calgary Stroke Program, Department of Clinical Neurosciences, University of Calgary, Canada.
3Department of Neurology, Keimyung University School of Medicine, Daegu, Korea. docsohn@dsmc.or.kr
Abstract
Brown-Séquard-plus syndrome is characterized by hemiparesis, contralateral spinothalamic sensory deficits with additional abnormal findings of other organs. We report a case of an 81-year-old man who had right hemiparesis, left sensory deficit and Horner syndrome on right eye. Diffusion-weighted MRI of the cervical spine and lower medulla confirm the diagnosis of anterior unilateral cervical spinal cord infarction. It is very rare that the unilateral long spinal cord infarction at the C1-C4 associated with Brown-Séquard-plus syndrome.
Key Words: Brown-Séquard-plus syndrome, Spinal cord infarction, Vertebral artery
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