Brown-Séquard syndrome of the cervical spinal cord after chiropractic manipulation
Structural and chiropractic
AJNR Am J Neuroradiol.1998 Aug;19(7):1349-52.
M H Lipper, J H Goldstein, H M Do
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.