Acute Partial Brown-Séquard Syndrome Secondary to Intraforaminal Disc Prolapse and Spinal Cord Infarction

Athanasios Astreinidis; Stephanos Finitsis; Xanthippi Mavropoulou; Elisavet Psoma; Panagiotis Prassopoulos

doi:10.1155/2019/7987038

Acute Partial Brown-Séquard Syndrome Secondary to Intraforaminal Disc Prolapse and Spinal Cord Infarction

Case Rep Neurol Med. 2019 Sep 25:2019:7987038. doi: 10.1155/2019/7987038. eCollection 2019.

Authors

Athanasios Astreinidis¹, Stephanos Finitsis¹, Xanthippi Mavropoulou², Elisavet Psoma², Panagiotis Prassopoulos²

Affiliations

¹ Department of Endovascular Surgery, AHEPA Hospital, Aristotle University of Thessaloniki, Panepistimioupoli, 54124 Thessaloniki, Greece.
² Department of Radiology and Medical Imaging, AHEPA University Hospital, Panepistimioupoli, 54124 Thessaloniki, Greece.

Abstract

We report the case of a 45-year-old female who presented with acute left abdominal pain and subsequently developed a left partial Brown-Séquard syndrome. Spinal fluid, inflammatory and prothrombotic tests were unremarkable. Magnetic resonance showed a left intraforaminal disc prolapse at the T9-T10 level and a hyperintense lesion on T2-weighted images in the left postero-lateral cord at the T8-T9 level with restricted diffusion on DWI imaging. A diagnosis of spinal cord infarction due to compromise of the left T8 thoracic radicular artery was made. The patient was managed conservatively and at the 3 months follow-up, she was ambulant and able to walk small distances without a walker.

Publication types

Case Reports