• M O McCarron, P A Flynn, K A Pang, and S A Hawkins.
• Department of Neurology, Quin House, Royal Victoria Hospital, Belfast BT12 6BA, Northern Ireland. mark.mccarron@royalhospitals.n-i.nhs.uk
• Arch Neurol Chicago. 2001 Sep 1;58(9):1470-2.

BackgroundIn the 1840s Brown-Séquard described the motor and sensory effects of sectioning half of the spinal cord. Penetrating injuries can cause Brown-Séquard or, more frequently, Brown-Séquard-plus syndromes.ObjectiveTo report the case of a 25-year-old man who developed left-sided Brown-Séquard syndrome at the C8 level and left-sided Horner syndrome plus urinary retention and bilateral extensor responses following a stab wound in the right side of the neck.ResultsMagnetic resonance imaging demonstrated a low cervical lesion and somatosensory evoked potentials confirmed the clinical finding of left-side dorsal column disturbance. At follow-up, the patient's mobility and bladder function had returned to normal.ConclusionThis patient recovered well after a penetrating neck injury that disturbed function in more than half the lower cervical spinal cord (Brown-Séquard-plus syndrome).

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