NBME 20 Syrinx of the central region of the spinal cord from C-4 to T-5 (NBME Answers)

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nbme20/Block 2/Question#4 (reveal difficulty score)
A 56-year-old woman has frequently burned ...
Syrinx of the central region of the spinal cord from C-4 to T-5 🔍 / 📺 / 🌳 / 📖
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submitted by ∗lebron james(22)

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Syringomyelia normally presents with bi-lateral loss of pain/temp in a cape like distribution due to damage of the anterior white commisures of the Spino-Thalamic Tract.

This person also has wasting of the small muscles of her hand, which is due to Syrinx expansion causing damage to LMNs of the anterior horn (from CNS Pathoma)

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dbg you're talented, bball and now this +22

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submitted by ∗ergogenic22(401)

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classic for Syringomyelia - results in bi-lateral loss of pain and temperature sensation in a "cape-like" distribution

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