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Syringobulbia: A delayed complication following spinal cord injury – case report
Published in The Journal of Spinal Cord Medicine, 2019
Christina Mousele, Miltiadis Georgiopoulos, Constantine Constantoyannis
Regarding the neuroanatomical background of the aforementioned patient’s clinical presentation the following plausible explanations can be provided. The concurrent existence of sensory loss, concerning pain and temperature sensation, of the right upper extremity and hypoesthesia of the right side of the face can be only explained by dysfunction of the left lateral spinothalamic tract (2nd order neuraxons) and the left trigeminal lemniscus. The muscle wasting and weakness, concerning especially the most delicate movements of the right hand, should be attributed to injury of the left corticospinal tract. The dysphagia and the dysphonia should be associated with dysfunction of the vagus (pneumogastric) nerve.