Brown-Sequard Syndrome with Contre-coup Mechanism Caused by a Penetrating Glass Fragment in a Girl: A Case Report

文獻上關於脊髓刺傷的病例報告很少，尤其是小孩子的病例。脊髓刺傷有很高的機率產生Brown-Sequard症候群。根據幾個大型的研究報告指出，80%的脊髓刺傷是由刀子所引起的，英文文獻上只有三個脊椎刺傷的病例是由玻璃片所引起的。本文報告一個Brown-Sequard症候群的病例，這是一個11歲的小女孩，由於玻璃從她的左耳後方穿入，造成她的右側肢體全癱，左側的肢體自第七胸椎以下感覺遲鈍，以及右下肢的本體感覺變差。患者接受開刀取出玻璃片，並做了第二頸椎的減壓手術後，除了有七天的腦脊髓液外漏外，並無其他的併發症產生。經過復健治療後，她於第71個住院天出院，出院時她在右腳穿足踝輔具(AFO)，左手持助行器下可自行走路，日常生活活動方面，除了上廁所及洗澡需他人幫助外，其餘均可自行完成。出院後患者仍持續進步，半年後她僅只需要右腳穿足踝輔具(AFO)，即可有不錯的步態，也可以自己去上學。

關鍵字

穿刺傷；脊髓損傷； Brown-Sequard症候群

並列摘要

Penetrating injuries of the spinal cord, especially in children, are rarely reported in literature. This study describes an 11-year-old girl with Brown-Sequard syndrome caused by a penetrating glass fragment injury of the C2 cord via the left posterior auricular area. Neurological examination revealed right hemiplegia, left hypesthesia below the T7 dermatome segment, and impaired proprioception of right lower extremity. Surgical removal of the foreign body and C2 laminoplasty was performed for decompression. After rehabilitation, the patient could walk with a right ankle-foot orthosis and a satisfactory gait. Although her right hand was slightly awkward, hand function was adequate. (J Rehab Med Assoc ROC 2002, 30(3): 165 - 170)

並列關鍵字

penetrating injury ； spinal cord injury ； Brown-Sequard syndrome

國際替代計量

Brown-Sequard Syndrome with Contre-coup Mechanism Caused by a Penetrating Glass Fragment in a Girl: A Case Report

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