Treatments for Brown-Sequard Syndrome
Treatments for Brown-Sequard Syndrome
The list of treatments mentioned in various sources
for Brown-Sequard Syndrome
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Discussion of treatments for Brown-Sequard Syndrome:
Generally treatment for individuals with BSS focuses on
the underlying cause of the disorder. Early treatment with high-dose
steroids may be beneficial in many cases. Other treatment is symptomatic
and supportive.
(Source: excerpt from
NINDS Brown-Sequard Syndrome Information Page: NINDS)
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Analgesia:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
Suspect spinal cord injury if the patient complains of unilateral or bilateral analgesia over a large body area, accompanied by paralysis. Immobilize his spine in proper alignment, using a cervical collar and a long backboard, if possible. If a collar or backboard isn’t available, position the patient in a supine position on a flat surface and place sandbags around his head, neck, and torso. Use correct technique and extreme caution when moving him to prevent exacerbating spinal injury. Continuously monitor respiratory rate and rhythm, and observe him for accessory muscle use because a complete lesion above the T6 level may cause diaphragmatic and intercostal muscle paralysis. Have an artificial airway and a handheld resuscitation bag on hand, and be prepared to initiate emergency resuscitation measures in case of respiratory failure.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Analgesia:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
Suspect spinal cord injury if the patient complains of unilateral or bilateral analgesia over a large body area, accompanied by paralysis. Immobilize his spine in proper alignment, using a cervical collar and a long backboard, if possible. If a collar or backboard isn’t available, place the patient in a supine position on a flat surface and place sandbags around his head, neck, and torso. Use correct technique and extreme caution when moving him to prevent exacerbating the spinal injury. Continuously monitor respiratory rate and rhythm, and observe him for accessory muscle use because a complete lesion above the T6 level may cause diaphragmatic and intercostal muscle paralysis. Have an artificial airway and a handheld resuscitation bag on hand, and be prepared to initiate emergency resuscitation measures in case of respiratory failure.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Analgesia:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Maintain spinal alignment during transport for laboratory or radiologic procedures. Monitor the patient’s vital signs and neurologic assessment closely. Provide continuous emotional support to the patient and his family.
Prevent pressure ulcer formation by such measures as meticulous skin care, massage, and frequent repositioning, especially when significant motor deficits hamper the patient’s movement. Guard against scalding by testing the water temperature before the patient bathes.
Patient teaching
Explain all tests and procedures. Advise the patient to test the water at home using a thermometer or a body part with intact sensation before showering or bathing.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Muscle spasticity:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Keep in mind that generalized spasticity and trismus in a patient with a recent skin puncture or laceration indicates tetanus. If you suspect this rare disorder, look for signs of respiratory distress. Provide ventilatory support, if necessary, and monitor the patient closely.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Analgesia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for spinal X-rays and imaging studies, and maintain spinal alignment and stability during the tests.
▪ Focus your care on preventing further injury to the patient because analgesia can mask injury or developing complications.
▪ Prevent formation of pressure ulcers through meticulous skin care and frequent repositioning, especially when significant motor deficits impair the patient's mobility.
▪ Guard against scalding by testing the patient's bath water temperature before he bathes.
Patient teaching
▪ Advise the patient to test bath water temperature at home using a thermometer or a body part with intact sensation.
▪ Explain all tests and procedures.
▪ Teach the patient about the diagnosis, once established, and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Muscle spasticity [Muscle hypertonicity]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for diagnostic tests, which may include electromyography, muscle biopsy, or intracranial or spinal magnetic resonance imaging or computed tomography.
▪ Administer pain medication and an antispasmodic, as ordered.
▪ Perform passive range-of-motion exercises, splinting, traction, and application of heat to help relieve spasms and prevent contractures.
▪ Maintain a calm, quiet environment to help relieve muscle spasms and prevent recurrence, and encourage bed rest.
▪ In cases of prolonged, uncontrollable muscle spasticity, as with spastic paralysis, prepare the patient for nerve blocks or surgical transection to provide permanent relief, as indicated.
Patient teaching
▪ Teach the patient to use assistive devices as needed.
▪ Help the patient to identify ways to maintain independence.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Gait, spastic [Hemiplegic gait]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Provide the patient with daily exercise and active and passive ROM exercises.
▪ Refer the patient to a physical therapist for gait retraining and possible in-shoe splints or leg braces to maintain proper foot alignment for standing and walking.
▪ Assist the patient with ambulation.
Patient teaching
▪ Reinforce the importance of ambulating with assistance.
▪ Teach the patient to use a cane or a walker, as indicated.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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