S14.146
Brown-Séquard syndrome at C6 level of cervical spinal cord
Clinical Classification Guidelines
Medical Intelligence & Overview
Brown-Séquard syndrome is a rare neurological condition caused by damage to one side of the spinal cord. Specifically, when this syndrome occurs at the C6 level of the cervical spinal cord, it affects sensory and motor functions on different sides of the body. This condition results from a spinal cord injury or damage at or around the sixth cervical vertebra, impacting the nerves that control movement and sensation in the neck, arms, and parts of the torso. Recognizing the signs and understanding the causes can help in seeking appropriate medical evaluation and management.
Causes & Symptoms
Clinical Causes: Trauma or injury to the neck region, such as motor vehicle accidents, falls, or sports injuries. Spinal cord tumors or growths pressing on the cord at the C6 level. Multiple sclerosis causing inflammatory damage or demyelination in the spinal cord. Ischemia or blood clots reducing blood flow to the cervical spinal cord. Infections that invade the spinal cord tissue, such as abscesses or viral infections. Spinal cord infarction or bleeding (hemorrhage) at the C6 level.
Key Symptoms: Contralateral loss of pain and temperature sensation, usually on the side opposite to the injury. Ipsilateral weakness or paralysis affecting muscles on the same side as the damage. Loss of proprioception, vibration, and fine touch sensation on the same side as the injury. Weakness or paralysis may involve the arms, depending on the extent of the injury. Possible urinary or bowel dysfunction if the injury affects nerve pathways controlling these functions. Pain, tingling, or a burning sensation at or near the level of injury.
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a thorough neurological examination to assess motor and sensory deficits. Imaging techniques such as MRI (Magnetic Resonance Imaging) are crucial for visualizing the level and extent of spinal cord damage. Additional tests may include CT scans or myelography to evaluate structural abnormalities. A detailed medical history helps identify potential causes like trauma or underlying diseases. Blood tests might also be ordered to rule out infections or autoimmune conditions.
Treatment Protocols: Managing Brown-Séquard syndrome depends on the underlying cause and severity of the injury. Treatment options may include:
Clinical Advice & FAQs
Billing Guidance
Is S14.146 a billable ICD-10 code?
Yes, S14.146 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S14.146?
Clinical documentation must specify the nature of Brown-Séquard syndrome at C6 level of cervical spinal cord and any associated comorbidities for accurate reporting.
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