A 25-year-old man is evaluated in the emergency department after he has sustained a stab in his neck. The patient is distressed, but conscious, oriented, and alert. He has stable vital signs. Physical examination reveals hemiplegia on the right side of the body. In addition, he has lost proprioception and vibration sensation below the C8 on the right side. Additionally, he has lost pain and temperature sensation below T2 level on the left side. Radiological imaging of this patient's spine would show the following findings?

Question

Quizplus · Accepted Answer

Eductional Objective: Hemisection of the spinal cord would lead to Brown-Séquard syndrome. Manifestations include hemiplegia on the same side of injury, loss of vibration and proprioception sensation ipsilaterally, and loss of temperature and pain sensation on the contralateral side. This is due to the disruption of the corticospinal tract, dorsal columns, and spinothalamic tract respectively.

A 25-Year-Old Man Is Evaluated in the Emergency Department After