Spinal cord injury without radiological abnormality manifest
The combination between SCIWORA (Spinal cord injury without radiological abnormality) and Brown-Sequard syndrome in a patient is a rare condition. In SCIWORA, there is usually a delay in neurologic deficits which can potentially lead to misdiagnosis. Therefore, the clinician should have a good understanding of the course of the disease to make a good diagnosis and treatment.

Published in the journal Trauma Case Reports, the authors present a case of female 20 years old with chief complaint of severe neck pain and delayed limbs weakness. The mechanism of injury was fall with the head hit the ground in left lateral flexion position.

The physical examination revealed zero motor power of the right limbs and contralateral pain and temperature deficit 1 h after the injury. The patient was diagnosed with incomplete spinal cord injury at C4 level with associated Brown-Sequard syndrome.

The authors gave soft collar neck for immobilization, medication with NSAID for analgetic and Methylprednisolon. They found dramatic improvement in 10 h after the injury with motor improvement from 0 to 5 and normal sensory function. The patient then was discharged with good functional outcome and with no sequelae.

Read in detail about the case here: https://pxmd.co/HSr3K