Treatable Extramedullary Cord CompressionMeningioma as a Cause of the Brown-Séquard Syndrome
作者:
ANTHONY BREUER,
LAWRENCE KNEISLEY,
EDWIN FISCHER,
期刊:
Spine
(OVID Available online 1980)
卷期:
Volume 5,
issue 1
页码: 19-22
ISSN:0362-2436
年代: 1980
出版商: OVID
关键词: spinal cord;extramedullary compression;Brown-Séquard syndrome;meningioma;surgery
数据来源: OVID
摘要:
The Brown-Séquard syndrome is infrequently reported. Though widely considered indicative ofintramedullary spinal cord disease, in the absence of penetrating spinal cord trauma, the syndrome is frequently an early stage ofextramedullary spinal cord compression, as an extensive analysis of diverse literatures reveals. We describe two cases resulting from compression of the spinal cord by a meningioma. While previous reviews emphasize that radicular or vertebral pain is a prominent feature of spinal cord compression by intradural tumors, our patients had no pain referable to tumor. Awareness that painless extramedullary spinal cord compression can produce the Brown-Séquard syndrome, early myelography, and surgical intervention are necessary to prevent progressive deficit. Even when encountered in a patient who has previously well-documented demyelinating disease, the syndrome should not be written off as a relatively untreatable intramedullary process.
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