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Brown-Sequard Syndrome : High-Yield Insights for FMGE | DIBS by Nextillo

Get high-yield insights on Brown-Sequard Syndrome for NEET PG with DIBS by Nextillo. Simplified concepts, key features, and essential clinical points in one place!<br>

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Brown-Sequard Syndrome : High-Yield Insights for FMGE | DIBS by Nextillo

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  1. NEXTILLO_ #DIBS BY NEXTILLO DAILY INFORMATION BULLETIN SERVICE BROWN-SEQUARD SYNDROME NEXTILLO.COM

  2. #DIBSBYNEXTILLO DAILY INFORMATION BULLETIN SERVICE BROWN-SEQUARD SYNDROME Brown-Sequard Syndrome is a hemi- section (one-sided injury) of the spinal cord, leading to distinct ipsilateral and contralateral neurological deficits. NEXTILLO.COM

  3. #DIBSBYNEXTILLO DAILY INFORMATION BULLETIN SERVICE CAUSES Trauma (stab wounds, gunshot injuries) Spinal cord tumors Multiple sclerosis Disc herniation Ischemia (Spinal stroke) NEXTILLO.COM

  4. VISUAL REPRESENTATION NEXTILLO.COM

  5. CLINICAL FEATURES NEXTILLO.COM

  6. KEY MNEMONIC: “IPSILATERAL MVP” M - Motor loss (Corticospinal) V - Vibration & Proprioception loss (Dorsal column) P - Pain & Temperature loss on opposite side (Spinothalamic) Diagnosis MRI Spine (gold standard) CT Myelography NEXTILLO.COM

  7. TREATMENT Address underlying cause (e.g., trauma stabilization, Tumor removal) Steroids (if inflammation present) Physical therapy & rehabilitation NEXTILLO.COM

  8. CLINICAL CASE A 35-year-old male is brought to the emergency department after being stabbed in the right side of his lower back. On examination: He has weakness and loss of proprioception in his right leg. He has loss of pain and temperature sensation in his left leg, starting a few segments below the injury. Deep tendon reflexes are reduced on the right side below the lesion. The left side retains motor function and proprioception. NEXTILLO.COM

  9. MCQ QUESTION: Which of the following best explains this patient’s condition? A) Complete spinal cord transection B) Central cord syndrome C) Brown-Sequard syndrome D) Anterior spinal artery syndrome Answer: C) Brown-Sequard Syndrome NEXTILLO.COM

  10. Explanation: The patient has ipsilateral motor weakness and proprioception loss (right side) and contralateral pain & temperature loss (left side), which is characteristic of Brown-Sequard Syndrome. Pathophysiology ·Corticospinal tract (motor): Crosses at the medulla - Ipsilateral weakness below the lesion. ·Dorsal column (proprioception, vibration): Crosses at the medulla - Ipsilateral loss below the lesion. ·Spinothalamic tract (pain & temperature): Crosses at the spinal level 1-2 segments above - Contralateral loss below the lesion. NEXTILLO.COM

  11. Incorrect A) Complete spinal cord transection - it may cause bilateral motor and sensory loss. B) Central cord syndrome - More common in elderly with hyperextension injuries and affects upper limbs more than lower. D) Anterior spinal artery syndrome -Affects bilateral motor and pain/temperature sensation but spares proprioception. NEXTILLO.COM

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