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Journals / Turkish Neurosurgery / 2013 / Cilt: 23 - Sayı: 4

Servikal Disk Hastalıklarında Brown-Sequard Sendromunun Takibi

Management of Brown-Sequard Syndrome in Cervical Disc Diseases

Safwat ABOUHASHEM
Mohamad AMMAR
Mohamad BARAKAT
Essam ABDELHAMEED
Pages
470–475
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

COnClusIOn: Brown-Sequard syndrome is a rare presentation of cervical disc herniation but accurate diagnosis, and early anterior spinal cord decompression lead to complete recovery of these cases.

📌 3 Key Takeaways

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Objective & Hypothesis:AIm: To raise the awareness of the appropriate management of unusual clinical presentation of cervical disc herniation. mAterIAl and methOds: Seven patients with Brown-Sequard syndrome due to cervical disc herniation presented with Brown-Sequard syndrome had been treated surgically as one of them treated with anterior cervical discectomy and three patients treated by anterior cervical discectomy and fusion while three of them have been treated by posterior laminectomy. results: Patients were 7 three of them were female and four were males and the mean age of our patients is 45.28±16.49 years ranged between 32 and 72 years.
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Key Findings & Data:History of spinodegenerative disease in the form of chronic neck pain with or without brachialgia was found in 6/7 patients (85.7%) while history of trauma was found in 5/7 patients (71.4%).
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Conclusion & Impact:COnClusIOn: Brown-Sequard syndrome is a rare presentation of cervical disc herniation but accurate diagnosis, and early anterior spinal cord decompression lead to complete recovery of these cases.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

AIm: To raise the awareness of the appropriate management of unusual clinical presentation of cervical disc herniation. mAterIAl and methOds: Seven patients with Brown-Sequard syndrome due to cervical disc herniation presented with Brown-Sequard syndrome had been treated surgically as one of them treated with anterior cervical discectomy and three patients treated by anterior cervical discectomy and fusion while three of them have been treated by posterior laminectomy. results: Patients were 7 three of them were female and four were males and the mean age of our patients is 45.28±16.49 years ranged between 32 and 72 years. History of spinodegenerative disease in the form of chronic neck pain with or without brachialgia was found in 6/7 patients (85.7%) while history of trauma was found in 5/7 patients (71.4%). Most common affected level is C5-C6 disc Outcome after surgical treatment revealed complete recovery in 4/7 patients (57.1%) while incomplete recovery in 2 patients (28.6%) and no improvement in one patient (14.3%). COnClusIOn: Brown-Sequard syndrome is a rare presentation of cervical disc herniation but accurate diagnosis, and early anterior spinal cord decompression lead to complete recovery of these cases.

Özet

AMAÇ: Servikal disk herniasyonunun olağandışı klinik sunumunun uygun takibi konusunda farkındalığı arttırmak. YÖNTEM ve GEREÇLER: Servikal disk herniasyonu nedeniyle Brown-Sequard sendromu olan 7 hasta cerrahi olarak tedavi edildi. Bunların biri anterior diskektomi ile, üç hasta anterior servikal diskektomi ve füzyonla ve üç hasta posterior laminektomiyle tedavi edildi. BULGULAR: 7 hastanın üçü kadın ve dördü erkekti ve ortalama yaş 32 ile 72 aralığında olup 45,28±16,49 yıldı. Brakialji ile veya olmadan kronik boyun ağrısı şeklinde spinodejeneratif hastalık öyküsü 6/7 hastada mevcuttu (%85,7) ve travma öyküsü 5/7 hastada bulundu (%71,4). En sık etkilenen seviye C5-C6 diskti. Cerrahi tedaviden sonra 4/7 hastada tam iyileşme (%57,1), 2 hastada tam olmayan iyileşme (%28,6) oldu ve 1 hastada (%14,3) iyileşme olmadı. SONUÇ: Brown-Sequard sendromu servikal disk herniasyonunun nadir bir sunumudur ama erken tanı ve erken anterior spinal kord dekompresyonu bu olgularda tam iyileşme sağlar.

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Cite This Article

ABOUHASHEM, S., AMMAR, M., BARAKAT, M., ABDELHAMEED, E. (2013). Servikal Disk Hastalıklarında Brown-Sequard Sendromunun Takibi. Turkish Neurosurgery, Cilt: 23 - Sayı: 4, 470–475. https://ajindex.com/articles/404929

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