ArticleJournal of orthopaedic case reports2026
Brown-Séquard Syndrome after Self-administered Manual Manipulation of the Cervical Spine: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Brown-Séquard syndrome (BSS) most commonly follows penetrating trauma, and cervical disc herniation is a rare cause. Spinal cord injury after manual cervical manipulation is well described when the manipulation is performed by another person, but injury following self-manipulation has not previously been reported. Case Report: A 38-year-old male developed sudden right-sided weakness immediately after forcefully cracking his own neck, a maneuver he had performed several times daily for years without incident. Examination showed right hemiparesis with contralateral loss of vibratory and pinprick sensation. Magnetic resonance imaging revealed large C4-C5 and C5-C6 disc herniations with severe cord compression. He underwent emergent C4-C6 anterior cervical discectomy and fusion 16 h after symptom onset, followed by 7 days of inpatient rehabilitation, and regained full strength by 2 months. Conclusion: This is the first reported case of BSS resulting from a patient's own cervical manipulation. It highlights a previously undescribed exposure pathway for cervical disc injury and the value of rapid decompression and intensive rehabilitation in optimizing recovery.
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