Brown-Séquard syndrome associated with Horner's syndrome in cervical epidural hematoma

Study design This report analyzed the likely locations of lesions that cause a combination of Horner's and Brown-Sequard syndromes. One must know the anatomic structure of spinal cord and the sympathetic nerve chain. Objectives A hypertensive patient had Brown-Sequard and Horner's syndromes after neck trauma. The magnetic resonance imaging and surgical findings showed the correlation between the clinical symptoms and the likely lesion. Methods The patient underwent right hemilaminectomy from C2 to C6 with total removal of hematoma. Conclusion The spinal epidural hematoma rarely is a surgical emergency. The patient presented with Brown-Sequard and Horner's syndromes. Magnetic resonance imaging made a rapid and correct diagnosis. The patient received an emergent right hemilaminectomy from C2 to C6 with removal of hematoma and subsequently made a complete recovery.