Brown-Séquard syndrome associated with Horner's syndrome in cervical epidural hematoma

Spine (Phila Pa 1976). 1995 Jan 15;20(2):244-7. doi: 10.1097/00007632-199501150-00023.


Study design: This report analyzed the likely locations of lesions that cause a combination of Horner's and Brown-Séquard syndromes. One must know the anatomic structure of spinal cord and the sympathetic nerve chain.

Objectives: A hypertensive patient had Brown-Séquard and Horner's syndromes after neck trauma. The magnetic resonance imaging and surgical findings showed the correlation between the clinical symptoms and the likely lesion.

Methods: The patient underwent right hemilaminectomy from C2 to C6 with total removal of hematoma.

Conclusion: The spinal epidural hematoma rarely is a surgical emergency. The patient presented with Brown-Séquard and Horner's syndromes. Magnetic resonance imaging made a rapid and correct diagnosis. The patient received an emergent right hemilaminectomy from C2 to C6 with removal of hematoma and subsequently made a complete recovery.

Publication types

  • Case Reports

MeSH terms

  • Brown-Sequard Syndrome / complications*
  • Brown-Sequard Syndrome / etiology
  • Cervical Vertebrae / blood supply
  • Hematoma, Epidural, Cranial / complications*
  • Horner Syndrome / complications*
  • Horner Syndrome / diagnosis
  • Horner Syndrome / etiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Spinal Cord Compression / etiology
  • Spinal Cord Compression / pathology