TY - JOUR T1 - Brown-Sequard syndrome JF - Trauma Surgery & Acute Care Open DO - 10.1136/tsaco-2018-000169 VL - 3 IS - 1 SP - e000169 AU - Eliza Moskowitz AU - Thomas Schroeppel Y1 - 2018/02/01 UR - http://tsaco.bmj.com/content/3/1/e000169.abstract N2 - A 67-year-old otherwise healthy woman was assaulted with a knife, receiving multiple stab wounds. On arrival, vital signs were within normal limits. She was mentating appropriately. She complained of weakness to her right upper and lower extremities. Neurologic examination demonstrated 0/5 right triceps and grip strength to the right upper extremity and 0/5 motor strength throughout the entire lower extremity. Right sensory examination demonstrated hypesthesia at C7, anesthesia at C8 and T1, with hyperpathia T2 fading through the upper lumbar levels associated with complete proprioceptive loss. On the left, there was anesthesia at T4 and hypesthesia at T5 fading through the upper lumbar levels with retained left proprioception. Back examination demonstrated a 1 cm laceration to the left of midline at C7 with clear fluid leaking from the wound. MRI demonstrated abnormal signal at the C5–C6 level, consistent with traumatic injury secondary to stab wound.Parasagittal  short -T1 inversion recovery (STIR) MRI  (figure 1) spinal cord hemisection at C6. Remaining portions of the imaged spinal cord  … ER -