A 37-year-old man presents to his doctor with "weak legs" after having fallen down the stairs and injuring his back at home a month previously. On examination, he has muscle weakness, hyperreflexia of the patella and Achilles reflexes and a Babinski sign in the right leg only. There is also loss of joint position sense in the right leg (inability to sense movement of his toes either up or down) and loss of responses to light touch and vibration on the right leg extending up to the belly button but temperature and pain sensation are normal. However, there is a loss of temperature and pinprick sensation in the left leg, extending up the left side to his belly button from his toes.  Using your knowledge of neuroanatomy, state what type of neurological injury he has sustained and suggest the approximate location of the lesion in the spinal cord

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
icon
Related questions
Question

A 37-year-old man presents to his doctor with "weak legs" after having fallen down the stairs and injuring his back at home a month previously. On examination, he has muscle weakness, hyperreflexia of the patella and Achilles reflexes and a Babinski sign in the right leg only. There is also loss of joint position sense in the right leg (inability to sense movement of his toes either up or down) and loss of responses to light touch and vibration on the right leg extending up to the belly button but temperature and pain sensation are normal. However, there is a loss of temperature and pinprick sensation in the left leg, extending up the left side to his belly button from his toes. 

Using your knowledge of neuroanatomy, state what type of neurological injury he has sustained and suggest the approximate location of the lesion in the spinal cord.

Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

Blurred answer
Knowledge Booster
Complications during life stages
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, anatomy-and-physiology and related others by exploring similar questions and additional content below.
Similar questions
Recommended textbooks for you
Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
Anatomy and Physiology
ISBN:
9780134580999
Author:
Elaine N. Marieb, Katja N. Hoehn
Publisher:
PEARSON
Anatomy & Physiology
Anatomy & Physiology
Anatomy and Physiology
ISBN:
9781259398629
Author:
McKinley, Michael P., O'loughlin, Valerie Dean, Bidle, Theresa Stouter
Publisher:
Mcgraw Hill Education,
Human Anatomy
Human Anatomy
Anatomy and Physiology
ISBN:
9780135168059
Author:
Marieb, Elaine Nicpon, Brady, Patricia, Mallatt, Jon
Publisher:
Pearson Education, Inc.,
Anatomy & Physiology: An Integrative Approach
Anatomy & Physiology: An Integrative Approach
Anatomy and Physiology
ISBN:
9780078024283
Author:
Michael McKinley Dr., Valerie O'Loughlin, Theresa Bidle
Publisher:
McGraw-Hill Education
Human Anatomy & Physiology (Marieb, Human Anatomy…
Human Anatomy & Physiology (Marieb, Human Anatomy…
Anatomy and Physiology
ISBN:
9780321927040
Author:
Elaine N. Marieb, Katja Hoehn
Publisher:
PEARSON