S14.142
Brown-Séquard syndrome at C2 level of cervical spinal cord
Clinical Classification Guidelines
Medical Intelligence & Overview
Brown-Séquard syndrome is a neurological condition resulting from damage to one side of the spinal cord. When this injury occurs at the C2 level of the cervical spine, it can lead to a distinctive pattern of neurological impairments. This condition affects how the brain communicates with parts of the body, impacting movement, sensation, and other bodily functions on different sides of the body. Recognized under the ICD-10 coding system as S14.142, this diagnosis emphasizes the localized nature of the injury at the second cervical vertebra.
Causes & Symptoms
Clinical Causes: Traumatic injuries such as falls, car accidents, or sports injuries that involve severe neck trauma Penetrating injuries including stab wounds or gunshot wounds to the cervical spine Spinal cord tumors or growths that compress or invade the cord at the C2 level Infections leading to inflammation or abscess formation in or around the cervical spinal cord Multiple sclerosis or other demyelinating diseases causing lesions within the spinal cord Degenerative disc disease or spondylosis that results in compression or injury to the spinal cord
Key Symptoms: Weakness or paralysis of muscles on one side of the body (hemiparesis or hemiplegia) Loss of sensation, including touch, pain, temperature, and proprioception, typically on the opposite side of the body from the weakness Stiffness or paralysis of muscles on the same side as the injury Impaired motor control, leading to difficulty with coordination and movement Possible bladder and bowel dysfunction depending on the extent of the injury Pain or abnormal sensations such as tingling or burning sensations in affected areas Delayed reflex responses or abnormal reflexes depending on injury severity
Diagnostic & Treatment
Diagnosis Path: Diagnosing Brown-Séquard syndrome involves a combination of clinical examination and imaging studies. Healthcare providers assess neurological function, including muscle strength, sensation testing, and reflex responses, to identify patterns consistent with unilateral spinal cord lesions. Magnetic resonance imaging (MRI) is the most valuable tool for visualizing the extent and precise location of spinal cord damage at the C2 level. Additional tests such as CT scans, myelography, and nerve conduction studies may complement diagnosis to determine the injury's cause and severity.
Treatment Protocols: Management of Brown-Séquard syndrome depends on the underlying cause, severity, and timing of the injury. Immediate treatment may include stabilization of the cervical spine, corticosteroids to reduce inflammation, and surgical intervention if necessary to decompress the spinal cord or repair structural damage. Long-term care involves physical and occupational therapy to maximize function and independence, along with medication management for pain and spasticity. In some cases, patients may require assistive devices or adaptive techniques to address mobility and daily living challenges. Regular follow-up with a multidisciplinary team is essential to monitor recovery and address ongoing needs.
Clinical Advice & FAQs
Billing Guidance
Is S14.142 a billable ICD-10 code?
Yes, S14.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S14.142?
Clinical documentation must specify the nature of Brown-Séquard syndrome at C2 level of cervical spinal cord and any associated comorbidities for accurate reporting.
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