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BROWN-SEQUARD SYNDROME CAUSED BY HYPEREXTENSION IN A PATIENT WITH ATLANTOAXIAL SUBLUXATION DUE TO AN OS ODONTOIDEUM

DONG-YEONG LEE, SOON-TAEK JEONG, TAE-HO LEE, DONG-HEE KİM

Acta Orthopaedica et Traumatologica Turcica - 2018;52(3):240-243

Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea

 

Brown-Sequard syndrome is an uncommon complication of atlantoaxial arthrodesis. A 50-year-old female visited our emergency department after falling from a ladder. Radiologic evaluations revealed chronic C1-2 instability with acute spinal cord injury. The day after atlantoaxial fusion was performed, she developed left-sided motor weakness and the loss of right-sided pain and temperature sensation. Based on physical examination and radiologic findings, we diagnosed her as having Brown-Sequard syndrome. Spine surgeons performing this procedure should therefore consider Brown-Sequard syndrome if a patient displays signs of postoperative hemiplegia.