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October 2021

AJNR Am J Neuroradiol. 1998 Aug; 19(7): 1349-52.

Brown-Séquard syndrome of the cervical spinal cord after chiropractic manipulation.

Lipper MH, Goldstein JH, Do HM.

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-Séquard 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.


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