A 62 year old woman complains of unsteadiness when walking. On examination she has pyramidal weakness of her left lower limb and reduced pain and temp sensation on right leg and response is equivocal. Where is the lesion?

waelhammad

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2022-10-30

A 62 year old woman complains of unsteadiness when walking. On examination she has

pyramidal weakness of her left lower limb and reduced pain and temp sensation on right leg and

right side of trunk up to the umbilicus. Joint position sense is impaired at her left great toe but is

normal elsewhere. She has a definite left extensor plantar response and the right plantar

response is equivocal. Where is the lesion?

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waelhammad

2022-10-30

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The key is D. Left mid thoracic cord. [In brown-sequard syndrome paralysis and loss of

proprioception on the same (or ipsilateral) side as the injury or lesion, and loss of pain and temperature

sensation on the opposite (or contralateral) side as the lesion].

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