Syringomyelia Quiz: Ace Your Exams
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A 17-year-old female presents to her primary care PA with worsening occipital headaches, gait disturbance, and diminished pain sensation. She recently burned herself while cooking after keeping her hand on a pan “that did not feel hot when touched.” The patient has also been experiencing worsening occipital headaches that wake her up from sleep as well as feelings of discoordination while walking. Vitals are within normal limits. Neurologic exam is notable for gait ataxia, down beating nystagmus, as well as bilateral loss of pain and temperature sensation in the upper extremities. Which of the following anatomic structures is directly disrupted by this patient's disease process?
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