Brown-Sequard Syndrome

Brown-Sequard Syndrome

Sindrom yang disebabkan oleh hemiseksi medulla spinalis karena peluru, luka tusukan, syringomyelia, tumor medulla spinalis, atau hematomyelia.

(Clinical Neuroanatomy 26th, Waxman)

Definisi

(Clinical Neuroanatomy 26th, Waxman)

(Clinical Neuroanatomy 26th, Waxman)

(Clinical Neuroanatomy 26th, Waxman)

Gejala Klinis

Parese LMN

Parese UMN

Gangguan Motorik◦ Paralisis tipe LMN ipsilateral (setinggi lesi)◦ Paralisis tipe UMN ipsilateral (di bawah lesi)

Manifestasi Klinis

Paralisis FlaccidParalisis SpastikRefleks fisiologis Refleks patologis +Clonus

◦ Gangguan Sensorik

◦ Setinggi Lesi Semua kualitas sensorik terganggu ipsilateral lesi

◦ Di bawah lesi,

◦

Manifestasi Klinis

Terganggu:• Proprioceptive (gerak+posisi

sendi, vibration /rasa getar, tekan)

• Fine touch(raba halus)• two point discrimination

Ipsilateral lesi

• Analgesia • Termanastesi

Kontralateral lesiKarena kerusakan tr. Spinothalamicus lataeral menyilang secara miring, sehingga terjadi dua atau tiga segmen di bawah tingkat lesi

Gangguan Autonomik

Setinggi lesi ipsilateral

Bila mengenai jalur simpatis di cervical atau T1 medula spinalis Horner syndrome ipsilateral (ptosis, enoftalmus, miosis, anhidrosis ipsilateral

Manifestasi Klinis

Diambil dari : Neuroanatomi Klinik Richard S.Snell Ed.7

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