Brown-Séquard syndrome without vascular injury associated with Horner’s syndrome after a stab injury to the neck

This case report describes a rare combination of Brown-Séquard and Horner's syndromes in a patient who sustained a stab wound to the neck, without any vascular injury. The patient experienced left hemiplegia, impaired sensation on the right side of her body, and Horner’s syndrome on the left side, characterized by ptosis and miosis. Despite initial severe impairments, the patient showed remarkable motor recovery during inpatient rehabilitation and was able to ambulate with assistive devices at discharge.

• 1
  The case highlights the importance of comprehensive neurological examination and imaging, including CTA and MRI, to rule out vascular injury and cord hemorrhage in patients with cervical stab wounds.
• 2
  The report emphasizes the importance of recognizing and documenting associated findings like anisocoria, and providing appropriate patient education regarding the etiology and prognosis of such complications.
• 3
  The patient demonstrated a typical pattern of motor recovery in Brown-Séquard syndrome, with proximal extensor muscles recovering before distal flexors, and eventual regaining of functional ambulation.