BlumCase07-05 - Anterolateral Pathways Lateral...

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CASE 7.5 SENSORY LOSS OVER BOTH SHOULDERS PATIENT PRESENTATION A 46-year-old man who had been in an accident at age 18 has had increasing difficulty walking. He has also developed pain and numbness in the shoulders and arms, more severe on the left side.
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KEY SYMPTOMS AND SIGNS Decreased pinprick sensation and painful numb paresthesias in bilateral shoulders and in the left arm Weakness, increased tone, and hyperreflexia in all extremities Slow, shuffling gait CASE 7.5 Sensory Loss Over Both Shoulders
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CASE 7.5 Pinprick Testing
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Unformatted text preview: Anterolateral Pathways Lateral Corticospinal Tract Signs of Upper Motor Neuron and Lower Motor Neuron Lesions Dermatomes Spinal Cord Lesions: Localization, Differential Diagnosis, and Treatment CASE 7.5 Sensory Loss Over Both Shoulders CASE 7.5 Fluid-Filled Syrinx in Cervical Spinal Cord FINAL DIAGNOSIS C3-C4 syringomyelia causing central cord syndrome OUTCOME Underwent decompressive surgery and did well immediately post-operatively. Subsequently lost to follow-up. CASE 7.5 Sensory Loss Over Both Shoulders...
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BlumCase07-05 - Anterolateral Pathways Lateral...

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