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American Journal of Neuroradiology, Vol 19, Issue 7 1349-1352, Copyright © 1998 by American Society of Neuroradiology

ARTICLES

Brown-Sequard syndrome of the cervical spinal cord after chiropractic manipulation

MH Lipper, JH Goldstein and HM Do
Department of Radiology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.

We report a case of increased signal in the left hemicord at the C4 level on T2-weighted MR images after chiropractic manipulation, consistent with contusion. The patient displayed clinical features of Brown-Sequard syndrome, which stabilized with immobilization and steroids. Follow-up imaging showed decreased cord swelling with persistent increased signal. After physical therapy, the patient regained strength on the left side, with residual decreased sensation to pain involving the right arm.




Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X