BACK–GROUND : The incidence of traumatic spinal cord injury was estimated at 15 new cases per million per year in India with Brown Sequard Syndrome comprising of 2– 4% of the injuries. [1,2] The prognosis is usually favourable. CASE CHARECTERSTICS: An adolescent male with history of fall from tree leading to loss of consciousness immediately and loss of movement and sensation in all the 4 limbs, reported to a Primary Health Centre. After giving IV Fluid and initial resuscitation, he gained his consciousness but was unable to move his limbs. 2 days post injury he was referred to AIIMS RAIPUR with motor and sensory deficit in all his four limbs. Clinically he appeared to be a case of BROWN SEQUARD PLUS SYNDROME or spinal hemiplegia (ASIA C) which has in general a favourable prognosis of ambulation and independence in ADL. [3] INTERVENTION– Corticosteroid, SOMI brace, physical therapy interventions. OUTCOME– After 1 month of combined treatment patient showed dramatic improvement and became independent in ambulation and ADL. MESSAGE–Brown sequard syndrome being an incomplete injury can result in very good PROGNOSIS if timely managed with proper intervention.