A client who sustained a gunshot wound has symptoms below the level of T-12 of ipsilateral motor paralysis, loss of proprioception and vibratory sense, and contralateral loss of pain and temperature sensation
When planning care for this client, which assumptions by the nurse are appropriate based on the provided data?
Select all that apply.
A) American Spinal Injury Association Impairment Scale score is A.
B) The spinal cord injury is incomplete.
C) These findings are consistent with Brown-Sequard syndrome.
D) Hemisection of the spinal cord is likely.
E) Some recovery of sensory function is higher.
Answer: B, C, D, E
Hemisection of the spinal cord, usually caused by a penetrating trauma (gunshot, knife), causes sensory and motor deficits on opposite sides of the body because the spinal cord injury is incomplete. These findings are consistent with Brown-Sequard syndrome, which has the best prognosis of all the incomplete spinal cord syndromes. American Spinal Injury Association (ASIA) Impairment Scale (AIS) score of A indicates a complete spinal cord injury where no sensory or motor function is preserved in the sacral segments S4-S5.
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