ICD 10 CM S14.141D | Description & Clinical Information

ICD 10 S14.141D describes a specific medical condition known as Brown Sequard syndrome of the spinal cord in the neck region, which is a rare neurological disorder characterized by a set of symptoms resulting from a lesion in one side of the spinal cord, typically caused by trauma, tumor, restricted or blocked blood flow to the spinal cord, infection, or inflammation, and this code is used for subsequent encounters for a lesion at the C1 level of the cervical spinal cord.

Official Description Of S14.141D

The ICD 10 CM book defines ICD 10 code S14.141D as:

When To Use S14.141D

The diagnosis describes by the ICD-10-CM code S14.141D is Brown Sequard syndrome at the C1 level of the cervical spinal cord. This condition usually results in one-sided weakness or spastic partial paralysis coupled with sensory loss to light touch, vibration, and temperature on one side and loss of position sense on the other side of the body.

To diagnose Brown Sequard syndrome, healthcare providers rely on multiple methods, including examining the patient’s medical history and physical examination of the cervical spine, assessing nerve function and conducting a laboratory examination to rule out other suspected conditions. Imaging techniques such as X-rays, computed tomography, and magnetic resonance imaging are also used to help diagnose and understand the extent of the injuries.

Brown Sequard syndrome is the result of damage to one side of the spinal cord – either due to penetrating injury, a tumor, or vascular lesion. Treatment options vary depending on the severity of the syndrome and the underlying cause. Rest is recommended in mild cases, while the use of a cervical collar can restrict neck movement to promote healing.

Pain management can also play a significant role in treatment, with oral analgesics and non-steroidal anti-inflammatory drugs being used to reduce inflammation and control pain. High dose steroids may also be used in more severe cases, as they help improve neurological function and reduce the risk of spinal cord damage.

In addition to treating the symptoms of the syndrome itself, healthcare providers must also address any underlying conditions that may have caused the injury to the spinal cord. This could include surgery to remove tumors or repair damaged blood vessels.

Finally, physical therapy can prove beneficial to patients, as it helps to support the affected site and restore movement, balance, and strength. Surgery may also be considered in severe cases where symptoms are resistant to other forms of treatment.

In summary, Brown Sequard syndrome at the C1 level of the cervical spinal cord is a complex condition that can result in significant disability if not properly diagnosed and managed. Treatment plans must address both the symptoms of the syndrome and any underlying conditions that may have caused the injury to the spinal cord. With proper management, patients can experience improvements in their symptoms and quality of life.