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Our patient presented with acute onset of fever with involvement of bilateral pyramidal, and anterolateral spinothalamic tracts without any evidence of posterior column involvement.
Brown-Sequard syndrome, first reported in 1849, is characterised by hemisection of the cord with disruption of the descending lateral corticospinal tracts resulting in ipsilateral hemiplegia, and damage of the ascending lateral spinothalamic tracts (which cross within one or two levels of the dorsal root entrance) resulting in contralateral loss of pain and temperature.
Given the central location, in proximity to spinothalamic tracts, sensory symptoms are frequently observed.
This finding suggests an early involvement of the spinothalamic tracts (pain and temperature nerve pathways), Dr.
Brown-Sequard syndrome is characterised by damage of the ascending lateral spinothalamic tracts (which cross within one or two levels of the dorsal root entrance) resulting in contralateral loss of pain and temperature.