AJNR Am J Neuroradiol. 1998 Aug; 19(7): 1349-52.
Brown-SÃ©quard syndrome of the cervical spinal cord after chiropractic manipulation.
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-SÃ©quard 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.