Öz
Brown-Séquard Syndrome is a type of Incomplete Spinal Cord Injury characterized by a relatively greater ipsilateral loss of proprioception and motor function, with contralateral loss of pain and temperature sensations. The residual deficits in balance produced by such injury may render a person liable to fall that may result in vertebral fracture and another injury to the spinal cord. We present here a case who initially had Brown-Séquard Syndrome due to penetrating knife injury to the neck and later on developed Cauda Equina Syndrome (another Incomplete Spinal Cord Injury) due to fractured LV1 following a fall. The fracture was fixed through Pedicle Screws and the patient underwent effective rehabilitation to gain maximum achievable independence in functional activities.
Anahtar Kelimeler
Double-Level Incomplete Spinal Cord Injury Cauda Equina Syndrome Brown-Sequard Syndrome Rehabilitation Pakistan
Kaynakça
- Chin LS, Mesfin FB, Dawodu ST. Spinal Cord Injuries. http://www.emedicine.medscape.com/article/793582overview.html (accessed 2013 Jun 2013)
- Atilgan M. Double-level spinal cord injury without vertebral fracture or dislocation: a case report. Ulus Travma Acil Cerrahi Derg. 2012;18:80-2.
- Duprez T, De Merlier Y, Clapuyt P, de Cléty SC, Cosnard G, Gadisseux J-F. Early cord degeneration in bifocal SCIWORA: a case report. Pediatr Radiol. 1998;28:186-8.
- Compston A. By Michael O'Brien for the Guarantors of Brain. Saunders Elsevier; 2010. Aids to the investigation of peripheral nerve injuries. Medical Research Council: Nerve Injuries Research Committee. His Majesty's Stationery Office: 1942; pp. 48 (iii) and 74 figures and 7 diagrams; with aids to the examination of the peripheral nervous system. pp. [8] 64 and 94 Figures. Brain 2010;133:2838–44.
- Granger CV, Hamilton BB, Keith RA, Zielezny M, Sherwin FS. Advances in functional assessment for medical rehabilitation. Topics in geriatric rehabilitation. 1986;1:59-74.
- Ravichandran G, Silver J. Missed injuries of the spinal cord. Br Med J (Clin Res Ed). 1982;284:953.
- Ohry A, Brooks ME, Rozin R. Misdiagnosis of spinal cord injuries—The physiatrist's point of view. Spinal Cord. 1980;18:15-20.
- Fraser S, Roberts L, Murphy E. Cauda equina syndrome: a literature review of its definition and clinical presentation. Arch Phys Med Rehabil. 2009;90:1964-8.
- Ma B, Wu H, Jia L-S, Yuan W, Shi G-D, Shi J-G. Cauda equina syndrome: a review of clinical progress. Chin Med J. 2009;122:1214-22.
- Gardner A, Gardner E, Morley T. Cauda equina syndrome: a review of the current clinical and medico-legal position. Eur Spine J. 2011;20:690-7.
- Yazışma Adresi / Address for Correspondence: Dr. Saeed Bin Ayaz Armed Forces Institute of Rehabilitation Medicine (AFIRM), Abid Majeed Road, Rawalpindi 46000, PAK İSTAN ;
- Email: saeedbinayaz@gmail.com geliş tarihi/received :28.09.2013 kabul tarihi/accepted:04.11.2013
Öz
Brown-Sequard Sendromu; ısıya ve ağrıya duyarlılığın kontralateral kaybının yanı sıra motor işlevinin ve propriyosepsiyonun yüksek oranda ipsilateral kaybı ile karakterize edilen tamamlanmamış omurilik yaralanmalarının bir tipidir. Yaralanma vakaları sonucunda ortaya çıkan dengedeki hasarlar bireyi omur kırıklıklarına veya başka omurilik yaralanmalararına neden olabilecek düşmelere meyilli hale getirebilir. Bu vaka rapor çalışmamızda önce keskin bir bıçakla boyuna hasar alması ile "Brown-Seqard Sendromu" oluşmuş daha sonra ise bu sendromun neden olduğu düşme sonucu LV1 kırığının meydana gelmesinden dolayı bir başka tamamlanmamış omurilik yaralanması ile "Cauda Equina Sendromu" oluşmuş bireyi sunmaktayız. Kırık, pedikül vida ile tespit edildi ve hastaya işlevsel aktiviteleri tek başına yapabilecek maksimum kazancı sağlamak için rehabilitasyon programı uygulandı.
Anahtar Kelimeler
Çift Seviye Tamamlanmamış Omurilik Yaralanması Cauda Equina Sendromu Brown-Sequard Sendromu Rehabilitasyon Pakistan
Kaynakça
- Chin LS, Mesfin FB, Dawodu ST. Spinal Cord Injuries. http://www.emedicine.medscape.com/article/793582overview.html (accessed 2013 Jun 2013)
- Atilgan M. Double-level spinal cord injury without vertebral fracture or dislocation: a case report. Ulus Travma Acil Cerrahi Derg. 2012;18:80-2.
- Duprez T, De Merlier Y, Clapuyt P, de Cléty SC, Cosnard G, Gadisseux J-F. Early cord degeneration in bifocal SCIWORA: a case report. Pediatr Radiol. 1998;28:186-8.
- Compston A. By Michael O'Brien for the Guarantors of Brain. Saunders Elsevier; 2010. Aids to the investigation of peripheral nerve injuries. Medical Research Council: Nerve Injuries Research Committee. His Majesty's Stationery Office: 1942; pp. 48 (iii) and 74 figures and 7 diagrams; with aids to the examination of the peripheral nervous system. pp. [8] 64 and 94 Figures. Brain 2010;133:2838–44.
- Granger CV, Hamilton BB, Keith RA, Zielezny M, Sherwin FS. Advances in functional assessment for medical rehabilitation. Topics in geriatric rehabilitation. 1986;1:59-74.
- Ravichandran G, Silver J. Missed injuries of the spinal cord. Br Med J (Clin Res Ed). 1982;284:953.
- Ohry A, Brooks ME, Rozin R. Misdiagnosis of spinal cord injuries—The physiatrist's point of view. Spinal Cord. 1980;18:15-20.
- Fraser S, Roberts L, Murphy E. Cauda equina syndrome: a literature review of its definition and clinical presentation. Arch Phys Med Rehabil. 2009;90:1964-8.
- Ma B, Wu H, Jia L-S, Yuan W, Shi G-D, Shi J-G. Cauda equina syndrome: a review of clinical progress. Chin Med J. 2009;122:1214-22.
- Gardner A, Gardner E, Morley T. Cauda equina syndrome: a review of the current clinical and medico-legal position. Eur Spine J. 2011;20:690-7.
- Yazışma Adresi / Address for Correspondence: Dr. Saeed Bin Ayaz Armed Forces Institute of Rehabilitation Medicine (AFIRM), Abid Majeed Road, Rawalpindi 46000, PAK İSTAN ;
- Email: saeedbinayaz@gmail.com geliş tarihi/received :28.09.2013 kabul tarihi/accepted:04.11.2013
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırma |
| Yazarlar | |
| Yayımlanma Tarihi | 22 Temmuz 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 39 Sayı: 2 |
