Saeed Bin AYAZ, Sumeera MATEE, Atif Ahmed KHAN, Muhammad IKRAM

Çift Seviyeli Tamamlanmamış Omurilik Yaralanmaları: Olgu Sunumu

Brown-Sequard Sendromu; ısıya ve ağrıya duyarlılığın kontralateral kaybının yanı sıra motor işlevinin ve propriyosepsiyonun yüksek oranda ipsilateral kaybı ile karakterize edilen tamamlanmamış omurilik yaralanmalarının bir tipidir. Yaralanma vakaları sonucunda ortaya çıkan dengedeki hasarlar bireyi omur kırıklıklarına veya başka omurilik yaralanmalararına neden olabilecek düşmelere meyilli hale getirebilir. Bu vaka rapor çalışmamızda önce keskin bir bıçakla boyuna hasar alması ile "Brown-Seqard Sendromu" oluşmuş daha sonra ise bu sendromun neden olduğu düşme sonucu LV1 kırığının meydana gelmesinden dolayı bir başka tamamlanmamış omurilik yaralanması ile "Cauda Equina Sendromu" oluşmuş bireyi sunmaktayız. Kırık, pedikül vida ile tespit edildi ve hastaya işlevsel aktiviteleri tek başına yapabilecek maksimum kazancı sağlamak için rehabilitasyon programı uygulandı.

Anahtar Kelimeler:

Çift Seviye, Tamamlanmamış Omurilik Yaralanması, Cauda Equina Sendromu, Brown-Sequard Sendromu, Rehabilitasyon, Pakistan

Double-level Incomplete Spinal Cord Injuries: A case report

Brown-SÃ©quard Syndrome is a type of Incomplete Spinal Cord Injury characterized by a relatively greater ipsilateral loss of proprioception and motor function, with contralateral loss of pain and temperature sensations. The residual deficits in balance produced by such injury may render a person liable to fall that may result in vertebral fracture and another injury to the spinal cord. We present here a case who initially had Brown-SÃ©quard Syndrome due to penetrating knife injury to the neck and later on developed Cauda Equina Syndrome (another Incomplete Spinal Cord Injury) due to fractured LV1 following a fall. The fracture was fixed through Pedicle Screws and the patient underwent effective rehabilitation to gain maximum achievable independence in functional activities.

Keywords:

Double-Level, Incomplete Spinal Cord Injury, Cauda Equina Syndrome, Brown-Sequard Syndrome, Rehabilitation, Pakistan,

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Yazışma Adresi / Address for Correspondence: Dr. Saeed Bin Ayaz Armed Forces Institute of Rehabilitation Medicine (AFIRM), Abid Majeed Road, Rawalpindi 46000, PAK İSTAN ;
Email: saeedbinayaz@gmail.com geliş tarihi/received :28.09.2013 kabul tarihi/accepted:04.11.2013