A Place for short cases/ SAQ's, handy tips & good resources on the web. Short bites of information relevant to EM.

Saturday, 28 September 2013

Decussation is the key to the infamous Brown Seqard...

Well this one always gives me a headache... spinal cord syndromes! No matter how hard I try I can't keep these in my head, however the video podcasts http://emergencymedicineireland.com/anatomy-and-em/ always make it easy to refresh my knowledge:

AFEM 06.1 - anterior cord syndrome
AFEM 06.2 - central cord syndrome
AFEM 06.3 - brown seqard

This is a pet topic made for exams as it includes anatomy and specific clinical findings matched to that anatomy, it can be linked to a variety of clinical cases/ images. It could also quite easily be tied into a question about c-spine clearance, management of suspected spinal injury or SCIWORA.

My summary of Brown Seqard is below (the colour scheme and concept are borrowed from AFEM):



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