SINDROME DE BROWN SEQUARD POSTERIOR A TRAUMATISMO CERVICAL PENETRANTE: A PROPÓSITO DE UN CASO
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Rev. Méd. La Paz
Abstract
El síndrome de Brown-Séquard es el conjunto de signos y síntomas causado por hemisección medular de diversos orígenes. Se trata de un paciente masculino de 24 años de edad, natural y residente de la ciudad de La Paz, sin antecedentes patológicos y familiares de importancia; su cuadro clínico se inicia en marzo de 2022 posterior a sufrir un asalto con arma blanca, produciéndole herida punzocortante en región cervical derecha de aproximadamente 3 centímetros de longitud; al examen físico presento hemiparesia braquiocrual derecha (ipsilateral a la lesión) con un balance muscular de -3/5 en la escala de Daniels además de alteración en la sensibilidad táctil gruesa y propioceptiva; hipoalgesia, hipoestesia térmica e hipoestesia táctil fina en hemicuerpo izquierdo (contralateral a la lesión).
Brown-Séquard syndrome is the set of signs and symptoms caused by spinal hemisection of various origins. This is a 24-year-old male patient, born and resident of the city of La Paz, with no significant pathological or family history; His clinical condition began in March 2022 after suffering an assault with a knife, causing a sharp wound in the left cervical region approximately 3 centimeters long; On physical examination, he presented left brachiocrual hemiparesis (ipsilateral to the injury) with a muscle balance of -3/5 on the Daniels scale in addition to alterations in gross tactile and proprioceptive sensitivity; hypoalgesia, thermal hypoesthesia and fine tactile hypoesthesia in the right hemibody (contralateral to the injury).
Brown-Séquard syndrome is the set of signs and symptoms caused by spinal hemisection of various origins. This is a 24-year-old male patient, born and resident of the city of La Paz, with no significant pathological or family history; His clinical condition began in March 2022 after suffering an assault with a knife, causing a sharp wound in the left cervical region approximately 3 centimeters long; On physical examination, he presented left brachiocrual hemiparesis (ipsilateral to the injury) with a muscle balance of -3/5 on the Daniels scale in addition to alterations in gross tactile and proprioceptive sensitivity; hypoalgesia, thermal hypoesthesia and fine tactile hypoesthesia in the right hemibody (contralateral to the injury).
Description
Vol. 31, No. 2