Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction

Study design: Case Report of a 21-year-old man that had concurrence of Brown-Séquard syndrome and Horner's syndrome after a penetrating trauma in the neck.

Objectives: This report analyzes the location of lesions that cause a combination of Horner's and Brown-Séquard syndrome. It is important to know the anatomic structure of spinal cord and

the sympathetic nerve chain.

Setting: Spinal Cord Unit, Department of Physical Medicine and Rehabilitation, Hospital La Fe, Valencia, Instituto Oftalmológico de Alicante, Alicante, Spain.

Results: The clinical findings and MRI showed a good correlation. The Horner's syndrome was confirmed with a 4% cocaine test. The patient received a conservative treatment with high-dose

steroid therapy (NASCIS-3).

Conclusion: The patient presented with Brown-Séquard syndrome and Horner's syndrome. Clinical examination and MRI made a quick and correct diagnosis. The patient recovered completely after

the conservative treatment.

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