¨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