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Brown-Sequard Sendromu; ısıya ve ağrıya duyarlılığın kontralateral kaybının yanı sıra motor işlevinin ve propriyosepsiyonun yüksek oranda ipsilateral kaybı ile karakterize edilen tamamlanmamış omurilik yaralanmalarının bir tipidir. Yaralanma vakaları sonucunda ortaya çıkan dengedeki hasarlar bireyi omur kırıklıklarına veya başka omurilik yaralanmalararına neden olabilecek düşmelere meyilli hale getirebilir. Bu vaka rapor çalışmamızda önce keskin bir bıçakla boyuna hasar alması ile "Brown-Seqard Sendromu" oluşmuş daha sonra ise bu sendromun neden olduğu düşme sonucu LV1 kırığının meydana gelmesinden dolayı bir başka tamamlanmamış omurilik yaralanması ile "Cauda Equina Sendromu" oluşmuş bireyi sunmaktayız. Kırık, pedikül vida ile tespit edildi ve hastaya işlevsel aktiviteleri tek başına yapabilecek maksimum kazancı sağlamak için rehabilitasyon programı uygulandı.

Brown-Séquard Syndrome is a type of Incomplete Spinal Cord Injury characterized by a relatively greater ipsilateral loss of proprioception and motor function, with contralateral loss of pain and temperature sensations. The residual deficits in balance produced by such injury may render a person liable to fall that may result in vertebral fracture and another injury to the spinal cord. We present here a case who initially had Brown-Séquard Syndrome due to penetrating knife injury to the neck and later on developed Cauda Equina Syndrome (another Incomplete Spinal Cord Injury) due to fractured LV1 following a fall. The fracture was fixed through Pedicle Screws and the patient underwent effective rehabilitation to gain maximum achievable independence in functional activities. [Cukurova Med J 2014; 39(2.000): 392-398]

Although surgical treatment of split cord malformations (SCM) is well known, the surgical problems and their solutions are not sufficiently investigated. The aims of this study are to point out the details of surgical treatment of SCM, to define possible peroperative problems and to suggest solutions. Thirty-six cases with the diagnosis of SCM had been surgically treated in our department between 1999 and 2011. Twenty-three of them were Type I, 11 were Type II and 2 were composite type. Removal of bony septum, combination of two hemicords in one dura and release of the spinal cord were performed for type I. Removal of fibrous band and release of the spinal cord were performed for type II. For composite type, the hemicords were unified in the first step and then the spinal cord was released. Dorsal paramedian roots, fibrous bands, nutritional artery within the septum, neural connections between the hemicords and tight filum terminale were the risky structures during the surgery. As a conclusion; surgery of the SCM is unique like no other spinal surgery and has its own technique. One should be aware of the pitfalls during the surgery and appropriate precautions should be taken. [ABSTRACT FROM AUTHOR]