---

Pregnancy following Brown-Séquard syndrome: A rare case report

---

Case Report

Author Details : Shree Bharathi*, Niveditha Jha, Sasirekha Rengaraj, Veena Ranjan

Volume : 8, Issue : 4, Year : 2021

Article Page : 572-576

https://doi.org/10.18231/j.ijogr.2021.117

Suggest article by email

Get Permission

---

Abstract

Brown-Séquard syndrome is an incomplete spinal cord lesion characterized by hemisection injury of the cord. We present a case of pregnancy, delivery and postpartum course following this rare neurological condition. A 42-year-old woman presented with past history of idiopathic hemicord myelitis leading to right sided hemiplegia with decreased contralateral sensation of pain and temperature, consistent with Brown-Séquard syndrome, which was treated with steroids and Therapeutic Plasma Exchange. Thereafter, she had near-complete motor recovery and complete sensory recovery over the next 3months. Three years later, she presented to us at 37+2 weeks of gestation with residual hemiparesis with motor power grade of 4/5 in right upper and lower limbs. She underwent Caesarean section for breech presentation, which was done under general anaesthesia in view of prior spinal cord lesion. She was discharged for follow-up in Neurology outpatient clinic and physical rehabilitation. At follow up after 12 months of delivery, she had complete motor and sensory recovery. Management of spinal cord lesions in pregnancy and delivery requires specialist multidisciplinary care due to risk of medical and obstetric complications. This case demonstrates a rare scenario of a primigravida at term gestation with residual deficits of a past spinal cord lesion.
 

Keywords: Brown-Séquard syndrome, Case report, Hemicord myelitis, Hemiparesis, Pregnancy.

How to cite : Bharathi S, Jha N, Rengaraj S, Ranjan V, Pregnancy following Brown-Séquard syndrome: A rare case report. Indian J Obstet Gynecol Res 2021;8(4):572-576

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.