MRCP PACES Cord Syndromes Brown-Sequard Syndrome
  • Hemisection of the cord affecting the corticospinal, dorsal column and spinothalamic tracts
  • Unlike most cord syndromes, this causes a hemiparesis
  • Clinical findings
    • Spares all the cranial nerves
    • Ipsilateral increased tone below the level of the lesion
    • Ipsilateral hyperreflexia below the level of the lesion
    • Ipsilateral pyramidal weakness
    • Ipsilateral loss of proprioception and vibration below the level of the lesion
    • Contralateral loss of pain and temperature below the level of the lesion
  • Causes
    • Demyelination
    • Trauma
    • Spinal cord tumours
    • Longitudinal myelitis
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