Wednesday, September 16, 2009

Follower of Artemis

This is a T2 weighted MR image of a patient with bilateral loss of pain and temperature sensation in his hands and fingers. His upper arms have preserved pain and temperature sensation. He has no deficits in light touch, vibration, or proprioception. Good thing you tested all the sensory modalities!

Challenge: What's your diagnosis?

Image is in the public domain.

3 comments:

Alex said...

syringomyelia?

Kelly said...

Syringomyelia

Craig Chen said...

yes, beautifully done!
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Follower of Artemis

In classical mythology, Syrinx was a nymph follower of Artemis pursued by Greek God Pan. The image shows a syringomyelia and the case describes central cord syndrome due to disruption of crossing spinothalamic fibers in the ventral commissure. The image shows a lesion at C6-7.

Sources: UpToDate; Wikipedia.