Síndrome de Brown-Sequard Online (Brown-Sequard Syndrome)

¨A Síndrome de Brown-Séquard é uma entidade classicamente encontrada nas lesões traumáticas da coluna. O quadro clínico reflete uma hemissecção do cordão medular, com perda de função motora ipsilateral associada a um déficits da sensibilidade dolorosa e térmica contra-lateral. As causas mais frequentes da síndrome são as lesões traumáticas ou tumorais (metastáticas ou intrínsecas). No entanto, estão descritas outras etiologias como a isquemia do cordão medular; patologia infecciosa ou inflamatória incluindo esclerose múltipla; hemorragia incluindo hematomielia e hematoma sub ou epidural; e doença degenerativa. O tratamento inclui, imobilização da coluna, corticosteroide, cirurgia da coluna vertebral e tratamento fisioterápico (a depender das lesões do número de lesões adquiridas). O prognóstico da síndrome de Brown-Séquard é ruim e depende muito da causa da síndrome.  ¨

 

■ Brown-Séquard syndrome caused by blunt cervical trauma with radiographic correlation

David Z. Cai, Geoffrey Liu, Christopher F. Wolf et al

Asian J Neurosurg. 2018 Jan-Mar; 13(1): 130–132

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820868/

 

■ A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma

S Kashyap, G Majeed, S Lawandy

Surgical Neurology International 2018, vol 9: 213

http://surgicalneurologyint.com/surgicalint-articles/a-rare-case-of-brown-sequard-syndrome-caused-by-traumatic-cervical-epidural-hematoma/

 

■ Brown-Séquard syndrome as a first presentation of multiple sclerosis

Tarun Kumar Ralot, Rambir Singh, Chander Bafna et al

Malays J Med Sci. 2017 Aug; 24(4): 106–110

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609696/

 

■ Cervical disc herniation causing Brown-Sequaerd syndrome: case report and review of literature: case report and review of literature (CARE-compliant)

Yuqing Zeng, Haiyong Ren, Junming Wan et al

Medicine (Baltimore) 2018 Sep; 97(37): e12377

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156073/

 

■ Controversies in the differential diagnosis of Brown-Sequard syndrome duet to cervical spinal disease from stroke: a case series

Vaner Koksal, Ozcan Yavasi

Turk J Emerg Med. 2017 Sep; 17(3): 115–120

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608612/

 

■ Síndrome de Brown-Séquard em associação à síndrome de Horner

A F M Dias, P C Benevides, R M Faleiro, M T Reis

Rev Med Minas Gerais 2017, vol 27: e-1897

http://rmmg.org/artigo/detalhes/2335

 

■ Brown-Séquard syndrome without vascular injury associated with Horner´s syndrome after a stab injury to the neck

Stephen Johnson, Margaret Jones, Jennifer Zumsteg

J Spinal Cord Med. January, 2016; 39(1): 111–114.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4725780/

 

■ Teaching NeuroImages: one-and-a-half Browwn-Séquard syndrome

G Cirirllo, V Todisco, G Tedeschi

Neurology 2016, vol 87 (15)

http://n.neurology.org/content/87/15/e178

 

■ Brown-Séquard syndrome: a rare manifestation of decompression sickness

W S Tseng, N C Huang, W S Huang, H C Lee

Occupational Medicine 2015, vol 65 (): 758-776

https://academic.oup.com/occmed/article/65/9/758/1442956

 

■ Intramedullary spinal cord neurocysticercosis presenting as Brown-Séquard syndrome

Elda M Salazar Noguera, Rita Pineda Sic, Fernando Escoto Solis

BMC Neurol. 2015; 15: 1.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320533/

 

■ Brow-Sequard syndrome produced by calcified herniated cervical disc and posterior vertebral osteophyte: case report

Dawei Guan, Guanjun Wang, Morgan Clare, Zhengda Kuang

J Orthop. 2015 Dec; 12(Suppl 2): S260–S263.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796572/

 

■ Solitary thoracic osteochondroma presenting as Brow-Séquard syndrome

Raghvendra Vijayrao Ramdasi, Amit Mahore

BMJ Case Rep. 2014; 2014: bcr2014206656

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244355/

 

■ Brown-Séquard syndrome from herniation of a thoracic disc

Christopher D. Witiw, Mohammed F. Shamji

CMAJ. 2014 Dec 9; 186(18): 1395

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259774/

 

■ Síndrome de Brown Sequard en una hérnia discal cervical

F Padilla-Vásquez, V H Escobar-de la Garma et al

Arch Neurocien (Mex) 2013, vol 18 (2 (104-107

http://www.medigraphic.com/pdfs/arcneu/ane-2013/ane132g.pdf

 

■ A rare case of Brown-Sequard syndrome caused by cervical disc herniation: a case report

Amir Abbas Ghasemi

J Inj Violence Res. 2012 Nov; 4(3 Suppl 1): 82.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3571608/

 

■ Síndrome de Brown-Séquard por hérnia discal cervical a duplo nível: caso clínico e revisão da literatura

Alves, Jorge Miguel Silva Ribeiro Olliveira et al.

Coluna/Columna, Set 2012, vol.11, no.3, p.245-246

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512012000300014&lng=pt&nrm=iso

 

■ Transverse myelitis with Brown-Sèquard syndrome after H1N1 immunization.

Vieira, Marcelo Adriano da Cunha e Silva et al.

Arq. Neuro-Psiquiatr., July 2012, vol.70, no.7, p.555-555

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000700018&lng=pt&nrm=iso

 

■ Trauma vértebro medular por arma blanca y síndrome de Brown Sequard: a proposito de un caso

Acta Médica Peruana 2012, vol 29 (2): 89-91

https://www.redalyc.org/pdf/966/96624178008.pdf

 

■ Brown-Sequard syndrome reveling intradural thoracic disc herniation

  1. Diabira, P.-L. Henaux, L. Riffaud, A. Hamlat, G. Brassier, X. Morandi

Eur Spine J. 2011 Jan; 20(1): 65–70.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3036028/

 

■ Cervical disc herniation production acute Brown-Sequard syndrome

Jong-Tae Kim, Ho-Jin Bong, Dong-Sup Chung, Young-Sup Park

J Korean Neurosurg Soc. 2009 May; 45(5): 312–314

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693795/

 

■ Brown-Sequard syndrome after blunt cervical spine trauma: clinical and radiological correlations

Pablo Miranda, Pedro Gomez, Rafael Alday, Ariel Kaen, Ana Ramos

Eur Spine J. 2007 Aug; 16(8): 1165–1170

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2200771/

 

■ by Dr Paulo Fernando Leite

Cardiologia – Centro Médico Unimed BH

Rua Gonçalves Dias 202

Belo Horizonte/MG/Brasil

tel 40204020

CRMMG: 7026

Email: pfleite1873@gmail.com

Síndrome de Dandy-Walker Online (Dandy-Walker Syndrome)

¨A síndrome de Dandy Walker consiste em uma anormalidade congênita do sistema nervoso central, caracterizada por deficiência do desenvolvimento das estruturas médias cerebelares, dilatação cística de fossa posterior comunicando- se com o quarto ventrículo e deslocamento ascendente dos seios transversais, tentório e tórcula. Entre os sinais clínicos estão protuberância occipital, aumento progressivo do crânio, arqueamento das fontanelas anteriores, papiledema, ataxia, distúrbios da marcha, nistagmo e comprometimento intelectual. A variante de Dandy-Walker apresenta uma forma mais branda, sendo a hipoplasia do vermis menos acentuada e a hidrocefalia menos comum. Dentre suas principais características relata-se o déficit auditivo. A surdez sensório-neural bilateral pode fazer parte do quadro clínico da síndrome, sendo o implante coclear uma opção para minorar os efeitos da surdez na aquisição da linguagem oral. O tratamento envolve equipe multidisciplinar e o prognóstico é variável de acordo com o fenótipo¨

 

■ Implante coclear em criança diagnosticada com Variante da Síndrome de Dandy-Walker: estudo de caso

Pedrett, Mariana dos Santos et al.

Rev. CEFAC, Aug 2018, vol.20, no.4, p.550-559

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462018000400550&lng=en&nrm=iso&tlng=pt

 

■ Dandy-Walker syndrome with giant cell lesions and cherubism

Vikram Karande, Neelam N. Andrade

Ann Maxillofac Surg. 2018 Jan-Jun; 8(1): 131–136

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018279/

 

■ Psychosis in a case of Dandy-Walker syndrome: a case report

Ripu Daman Dawra, Sagar Karia, Nilesh Shah, Avinash Desousa

J Clin Diagn Res. 2017 May; 11(5): VD03–VD04

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483787/

 

■ Foveal hypoplasia associated with Dandy-Walker syndrome

N Ebrahimiadib, S Karkheiran, R Roohipoor et al

Canadian Journal of Ophthalmology 2017, vol 52 (4): e125-e127

https://www.canadianjournalofophthalmology.ca/article/S0008-4182(16)31177-2/fulltext

 

■ Variante de Dandy Walker: reporte de un caso

Cueva-Núñez, José E et al.

Rev. chil. pediatr., Oct 2016, vol.87, no.5, p.406-410

https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062016000500012&lng=es&nrm=iso

 

■ Dandy-Walker malformation presenting with psychological manifestations

Yasodha Maheshi Rohanachandra, Dulangi Maneksha Amerasinghe Dahanayake, Swarna Wijetunge

Case Rep Psychiatry. 2016; 2016: 9104306

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4963583/

 

■ Mortality of Dandy-Walker syndrome in the United States: analysis by race, gender, and insurance status

Shearwood McClelland, 3rd, Onyinyechi I. Ukwuoma, Scott Lunos, Kolawole S. Okuyemi

J Neurosci Rural Pract. 2015 Apr-Jun; 6(2): 182–185

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4387808/

 

■ Asymptomatic Dandy-Walker syndrome in an adult

Hatim Belfquih, Brahim Elmostarchid

Pan Afr Med J. 2014; 19: 15.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286217/

 

■ Lipodistrofia congenita generalizada en un paciente con anomalia de Dandy Walker

Luna, Cecilia Ines et al.

Arch. argent. pediatr., Oct 2014, vol.112, no.5, p.e196-e199

http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-00752014000500013&lng=es&nrm=iso

 

■ Malformación de Dandy-Walker.

Trevino Alanis, Ma. Guadalupe et al.

Arch. argent. pediatr., Feb 2014, vol.112, no.1, p.103-104

http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-00752014000100024&lng=es&nrm=iso

 

■ Síndrome de Dandy-Walker

V Figueroa-Ángell, I Reyes-Moreno, R Garcia-López et al

Arch Neurocien (Mex) 2013, vol 18 (2): 92-98

http://www.medigraphic.com/pdfs/arcneu/ane-2013/ane132e.pdf

 

■ Cochlear implantation in patient with Dandy-Walker syndrome

Adriana Kosma Pires de Oliveira, Rogerio Hamerschmidt, Marcos Mocelin, Rodrigo K. Rezende

Int Arch Otorhinolaryngol. 2012 Jul; 16(3): 406–40

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435434/

 

■ Implante coclear em paciente com síndrome de Dandy-walker 

Oliveira, Adriana Kosma Pires de et al.

Int. Arch. Otorhinolaryngol., Set 2012, vol.16, no.3, p.406-409

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642012000300018&lng=en&nrm=iso

 

■ Síndrome do X Frágil com variante de Dandy-Walker: estudo clínico das manifestações comunicativas orais e escritas.

Lamônica, Dionísia Aparecida Cusin et al.

  1. Soc. Bras. Fonoaudiol., 2011, vol.23, no.2, p.177-182

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2179-64912011000200016&lng=en&nrm=iso

 

■ Crises epilépticas convulsivas e malformação de Dandy-Walker no adulto: relato de caso

A Ferreira Leite, A O de Freitas Júnior, N A de Rezende

Rev Med Minas Gerais 2009, vol 19 (4): 357-359

http://rmmg.org/artigo/detalhes/475

 

■ Dandy-Walker variant associated with bipolar affective disorder

Anand Lingeswaran, Deepak Barathi, Gyaneswahr Sharma

J Pediatr Neurosci. 2009 Jul-Dec; 4(2): 131–132

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3162782/

 

■ Variante de Dandy Walker – relato de caso

R L Khan, C A de Leon, E S Romagna, P A Z Ballardin

Scientia Medica, Porto Alegre 2009, vol 19 (4): 186-191

http://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/viewFile/5316/4739

 

■ Dandy-Walker syndrome in adult mimicking myasthenia gravis

Cardoso, Juliana et al.

Arq. Neuro-Psiquiatr., Mar 2007, vol.65, no.1, p.173-175

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2007000100037&lng=en&nrm=iso&tlng=en

 

■ Alterações oculares em paciente pediátrico portador de malformações de Dandy-Walker: relato de caso

Ewald, Oscar et al.

Arq. Bras. Oftalmol., Fev 2006, vol.69, no.1, p.97-99

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492006000100018&lng=en&nrm=iso

 

■ Síndrome de Dandy-Walker: un hallazgo casual en la autopsia médico-forense

Moreno Cantero, F.

Cuad. med. forense, Oct 2006, no.45-46, p.198-198

http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-76062006000200010&lng=es&nrm=iso

 

by Dr Paulo Fernando Leite

Médico Cooperado Unimed BH – CRMMG: 7026

Cardiologia – Centro Médico Unimed BH

Belo Horizonte/Minas Gerais/Brasil

Email: pfleite1873@gmail.com