Brown-Sekar Syndrome. Possible variants of the current

Many people often experience periodic back pain. The reasons for their occurrence are very diverse: trauma, neurological diseases against the background of damage to the nervous system. One of the most complex manifestations of diseases associated with back pain is the Brown-Sekar syndrome.

It is a complex of both sensory and motor disorders caused by damage to the spinal cord across. The list of conditions and diseases in which this syndrome occurs is quite large. The main and most common cause of its occurrence is a back injury, which can be obtained as a result of knife injury, and as a result of a blunt injury. There are cases when Brown-Sekar syndrome appears as a result of a car accident that entailed a facet fracture along with displacement.

Much less often, but still there were cases of this syndrome due to extramedullary tumor, disc herniation, epidural hematoma, spinal infarction or stratification of the vertebral artery. But the main reason is the spinal cord injury as a result of a mechanical trauma.

Several manifestations have been described, the cause of which is the aforementioned syndrome. So, its classical variant is the following. On the side of finding the lesion, either paresis or paralysis of both legs occurs. There is a profound violation of sensitivity (weight, pressure), as well as the absence of it in the form of numbness in the zone of innervation of segments that were damaged as a result of trauma. On the side that is the opposite of the lesion, there is a lack of surface sensitivity (temperature, pain)

Syndrome Brown-Secar in the reverse version has the following features. Symptoms in this case are different. On the side that is the site of the focus, there may be a violation of surface sensitivity, and on the other - paralysis and paresis. The Brown-Sekar symptom is present only on the side of the trauma (motor disorders, sensitivity disorders).

The so-called partial variant of the syndrome differs from those mentioned above in that the symptoms are almost not manifested or are only noted zonally.

Such a variety of possible manifestations is due, first of all, to localization and character (injuries, concussion, brain tumors, purulent epidurit, violation of the general spinal circulation) lesions.

An unavoidable feature of such a disease as the Brown-Sekar Syndrome is that against the background of the above changes, the sensitivity in muscles and joints persists. This fact is easily explained by the fact that the cordages located behind the spinal cord remain unscathed due to the fact that their blood is supplied by the spinal artery.

The above symptoms of the syndrome of Brown-Sekar are clinically confirmed and repeatedly observed in medical practice.