Syringomyelia Quiz: Ace Your Exams
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A 20-year-old male comes to his primary care physician for evaluation of neck pain and headaches. His symptoms have been progressively worsening over the past several months, and his headache is located primarily at the occipital region. The patient is otherwise healthy and does not consume alcohol, tobacco, or illicit substances. He is not taking any medications. Vitals are within normal limits. On physical examination, the patient is noted to have down beating nystagmus. MRI imaging of the brain reveals the following findings: 
Image reproduced from Radiopaedia
Which of the following findings is most often associated with this patient’s condition?

Image reproduced from Radiopaedia
Which of the following findings is most often associated with this patient’s condition?
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