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Author4 Posts
  #1

A 32-year-old man is concerned about burning his hand on his barbecue grill because he did not feel any pain. He also notes that he has difficulty making a fist with either hand. An examination reveals that the patient does not respond to pin pricks in the palm of either hand and both hands show evidence of thenar and hypothenar wasting. The biceps tendon reflexes are hypotonic bilaterally. Which of the following is the most likely site of the lesion?

A. Medulla
B. Pons
C. Primary motor cortex
D. Spinal cord
E. Posterior limb of the internal capsule

  #2

d.spinal cord

  #3

Looks like D. Could you explain what kind of lesion cuses this clinical presentation. :? Bilateral Lower Brachial Plexus lesion? :roll: Thanx.

  #4

spinal cord---syringomyelia

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius







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