Abstract:
Case report. To present an unusual type of penetrating objects causing Brown-Séquard syndrome (BSS) and its clinical character. Department of Orthopaedic Surgery, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, PR China. A 54-year-old man fell from a height of 4 m onto an iron fence, and a sharp iron fence point penetrated the right side of his back. He developed left-sided BSS. Both X-ray film and computed tomography scanning of the thoracic spine showed a right vertebral plate of Th5 fracture and metal fragments inclining through the posterior and left lateral of the spinal canal. Emergency decompressive laminectomy and removal of the foreign metal piece were performed. No improvement in neurological function was observed 10 days after surgery, and thus hyperbaric oxygen treatment was initiated twice a day for the next 1 month.
Ye, Jia, Chen, Yuan, , , , , (2010). Brown-Séquard syndrome due to penetrating injury by an iron fence point. Spinal cord, 2010 Jul;48(7):582-4. https://www.ncbi.nlm.nih.gov/pubmed/20010907