brown - sequard syndrome
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stiches
- Posts: 2
- Joined: Sat Dec 29, 2012 5:24 pm
- Injury Description, Date, extent, surgical intervention etc: Tbpi 1993 amputation scapular fusion drez. Loss of function r arm r side muscles back chest r leg some deficit l arm/hand. Helluva lotta pain1
brown - sequard syndrome
Any comments or opinions?
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Christopher
- Posts: 845
- Joined: Wed Jun 18, 2003 10:09 pm
- Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02
Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed
BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.
Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)
"Do what you can, with what you have, where you are."
~Theodore Roosevelt - Location: Los Angeles, California USA
Re: brown - sequard syndrome
I read a paper not too long ago that discussed the development of hemiplegia years after a brachial plexus injury with avulsions. If I remember correctly it did mention that this is a rare complication. I suppose this is essentially a brown-sequard syndrome that has developed years after the injury. I guess this makes sense in that the spines integrity may have been compromised and even a slight further stress could bring on further neural damage. I will see if I can find it and post it here.
Are you experiencing these problems stiches?
Are you experiencing these problems stiches?
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stiches
- Posts: 2
- Joined: Sat Dec 29, 2012 5:24 pm
- Injury Description, Date, extent, surgical intervention etc: Tbpi 1993 amputation scapular fusion drez. Loss of function r arm r side muscles back chest r leg some deficit l arm/hand. Helluva lotta pain1
Re: brown - sequard syndrome
Answering on.crappy phone - bear with me. Tbpi '93 scapular fusion above elbow amp r arm, drez procedure, rhizotomies, hemilaminectomies etc etc. Brown sequords last 3 to 4 yrs. Getting progressively worse. Didn't know what was going on at first. Woke up many times unable to move much below chest level -left arm almost completely gone till I was able to get rolled over or take pressure off neck-or whatever was "pinched off". R.leg affected, almost useless at times. Thanx for response. Be checking in.
Re: brown - sequard syndrome
Here is a paper discussing (I couldn't find the one I was referring to earlier) brown-sequard syndrome in brachial plexus injuries. Aparently it occurs in 2-5% of those with avulsions and can be very late onset (years or a decade even). Have you seen a specialist about this? It looks like in some cases there are some procedures they can do to relieve the pressure on the spinal cord. Let me know if you can't access the article and I will email it if you like. Also thinking of getting an above elbow amputation myself. What are your thoughts on the amputation? Are you glad its gone? do you find it easier to get around?
http://www.boneandjoint.org.uk/highwire ... 8.full.pdf
http://www.boneandjoint.org.uk/highwire ... 8.full.pdf