Pediatric Neurology
Volume 43, Issue 1 , Pages 57-60 , July 2010

Brown-Séquard-Plus Syndrome Because of Penetrating Trauma in Children

  • Magimairajan Issaivanan, MD, MPH

      Affiliations

    • Division of General Pediatrics, Department of Pediatrics, Brookdale University Hospital and Medical Center, Brooklyn, New York
    • ,
  • Ndina M. Nhlane, MD

      Affiliations

    • Division of General Pediatrics, Department of Pediatrics, Brookdale University Hospital and Medical Center, Brooklyn, New York
    • ,
  • Firdous Rizvi, MD

      Affiliations

    • Division of Neurology, Department of Pediatrics, Brookdale University Hospital and Medical Center, Brooklyn, New York
    • ,
  • Mayank Shukla, MD

      Affiliations

    • Division of Pediatric Critical Care, Department of Pediatrics, Brookdale University Hospital and Medical Center, Brooklyn, New York
    • ,
  • Mary C. Baldauf, MD, MS

      Affiliations

    • Division of Pediatric Critical Care, Department of Pediatrics, Brookdale University Hospital and Medical Center, Brooklyn, New York
    • Corresponding Author InformationCommunications should be addressed to: Dr. Baldauf; Division of Pediatric Critical Care, Department of Pediatrics; Brookdale University Hospital and Medical Center; One Brookdale Plaza, CHC-801; Brooklyn, NY 11212.

Received 7 May 2008 ,Accepted 22 March 2010.

References 

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  2. Vogel CL, Anderson CJ. Spinal cord injuries in children and adolescents: A review. J Spinal Cord Med. 2003;26:193–203
  3. Tattersall R, Turner B. Brown-Séquard and his syndrome. Lancet. 2000;356:61–63
  4. McCarron MO, Flynn PA, Pang KA, Hawkins SA. Traumatic Brown Séquard-plus syndrome. Arch Neurol. 2001;58:1470–1472
  5. Roth EJ, Park T, Pang T, Yarkony GM, Lee MY. Traumatic cervical Brown-Séquard and Brown Séquard-plus syndromes: The spectrum of presentations and outcomes. Paraplegia. 1991;29:582–589
  6. American Spinal Injury Association. International standards for neurological classification of spinal cord injury, 2002. Available at: http://www.asia-spinalinjury.org/publications/index.html. Accessed December 24, 2006.
  7. Gray TL, Karagiannis A, Crompton JL, Selva D. Self inflicted blindness and Brown-Séquard syndrome. J Neuroophthalmol. 2003;23:154–156
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  9. Chiles WB, Cooper RP. Acute spinal injury. N Engl J Med. 1996;334:514–520
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  11. Harris P. Stab wound of the back causing an acute subdural hematoma and a Brown-Séquard neurological syndrome. Spinal Cord. 2005;43:678–679
  12. Jones FK, Babalola F, Eltayeb O, Teixeira A. Blow dart injury resulting in Brown Séquard-plus syndrome. Am Surg. 2005;71:1075–1077
  13. Moin H, Khalili HA. Brown-Séquard syndrome due to cervical pen assault. J Clin Forensic Med. 2006;13:144–145
  14. Vale FL, Burns J, Jackson AB, Hadley MN. Combined medical and surgical treatment after acute spinal cord injury: Results of a prospective pilot study to assess the merits of aggressive medical resuscitation and blood pressure management. J Neurosurg. 1997;87:237–246
  15. Nockels RP. Non-operative management of acute spinal cord injury. Spine. 2001;26(Suppl):S31–S37
  16. Hadley MN. Management of acute spinal cord injuries in an intensive care unit or other monitored setting. Neurosurgery. 2002;50(Suppl):S51–S57
  17. Kinnon JA, Perlman M, Kirpalani H, Rehan V, Sauve R, Kovacs L. Spinal cord injury at birth: Diagnostic and prognostic data in twenty-two patients. J Pediatr. 1993;122:431–437
  18. Bracken MB, Shepard MJ, Holford TR, et al. Administration of methylprednisolone for 24 or 48 hrs or tirilazad mesylate for 48 hrs in the treatment of acute spinal cord injury: Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial-National Acute Spinal Cord Injury Study (NASCIS-3). JAMA. 1997;277:1597–1604
  19. Stuffer ES, Wood RW, Kelly EG. Gunshot wounds of the spine: The effects of Laminectomy. J Bone Joint Surg [Am]. 1979;61:389–392
  20. Venger BH, Simpson RK, Narayan RK. Neurosurgical intervention in penetrating spinal trauma with associated visceral injury. J Neurosurg. 1989;70:514–518

PII: S0887-8994(10)00148-7

doi: 10.1016/j.pediatrneurol.2010.03.016

Pediatric Neurology
Volume 43, Issue 1 , Pages 57-60 , July 2010

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