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  1. #1
    Asclepius1's Avatar
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    loss of pain and temperature

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    A patient presents with bilateral loss of pain and temperature (that's really all you need to know!) - what is the most likely diagnosis?

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    neuro q

    could it be Ant spinal artery? - i can identify the location of d damage on a s.c diagram, but not sure of which artery is occluded

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    syringomylia

    syringomyelia??

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    bilateral pain and temp loss

    Syringomyelia- A USMLE favorite- MC at cervical cord levels- patient has a capelike sensory loss in upper limbs, then later has bilateral upper limb flaccid weakness when syrinx compresses lower motor neurons

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    syringomyelia is the correct answer

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    vishalforyou is offline Newbie 511 points
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    they give a case of typical woman who burnt her hands without her consciousness and when examined we reveal out loss of pain and temparature,syringolyelia...

  7. #7
    coneate is offline Newbie 510 points
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    cuneate and gracile tract

  8. #8
    instatewaiter is offline Newbie 510 points
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    Quote Originally Posted by coneate View Post
    cuneate and gracile tract
    no it's not. It is the anterior/lateral spinothalamic tract. The cuneate and gracile tract (aka dorsal column/medial lemniscal tract) dont cross in the grey commisure of the spinal cord. The dorsal column does vibration, general touch and conscious proprioception.

    The motor symptoms are a late finding when the spinal canal has really expanded so often you dont see it.

    Ant. Spinal artery syndrome is the occlusion of the anterior spinal artery.

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