BlumCase07-04 - Posterior ColumnMedial Lemniscal Pathway...

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CASE 7.4 LEFT LEG WEAKNESS AND RIGHT LEG NUMBNESS PATIENT PRESENTATION A 71-year-old woman was referred to a neurologist with 10 months of progressive gait difficulty, right leg numbness, and urinary problems.
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KEY SYMPTOMS AND SIGNS Left leg weakness, increased tone, hyperreflexia, and Babinski's sign Decreased vibration and joint position sense in the left foot and leg Decreased pinprick sensation on the right side below the umbilicus, with right leg numb, tingling paresthesias Left-sided thoracic back pain Stiff-legged, unsteady gait Impaired bowel and bladder function CASE 7.4 Left Leg Weakness and Right Leg Numbness
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CASE 7.4 Pinprick Testing
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Lateral Corticospinal Tract
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Unformatted text preview: Posterior ColumnMedial Lemniscal Pathway Anterolateral Pathways Pathways for the Control of Bladder, Bowel, and Sexual Function Dermatomes Spinal Cord Lesions: Localization, Differential Diagnosis, and Treatment CASE 7.4 Left Leg Weakness and Right Leg Numbness CASE 7.4 Intradural Mass Compressing Left Spinal Cord at T9, Sagittal CASE 7.4 Intradural Mass Compressing Left Spinal Cord at T9, Axial CASE 7.4 Left Leg Weakness and Right Leg Numbness FINAL DIAGNOSIS Meningioma compressing the left spinal cord at T9 causing Brown-Squard syndrome OUTCOME Meningioma removed via laminectomy. Recovered sensation, sphincter control, and improved ambulation....
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This note was uploaded on 08/24/2011 for the course MED 605 taught by Professor Skeen during the Fall '09 term at University of Delaware.

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BlumCase07-04 - Posterior ColumnMedial Lemniscal Pathway...

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