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Neuroscience

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The Burnt Foot Case

NEURO-WKLE$V

You are a doctor at the best hospital for Neurology and Neurosurgery. A patient comes in that was referred to you by another doctor. The patient had third-degree burns on her right foot and she tells you that she got it from stepping on a hot curling iron.

The patient tells you she did not realize that it was burning her because it did not hurt or feel hot. She is able to move the foot fine, but cannot feel touch and pressure on the foot. However, her left foot has some motor deficiencies. Her right leg has varying degrees of numbness to touch and pain. She has no sensory or motor problems anywhere else.

You suspect something is wrong with the patient besides her third-degree burn.

What is MOST likely to be your diagnosis?

A

An anterior lesion on the right side of the spinal cord at the thoracic level.

B

A posterior lesion on the right side of the spinal cord at the lumbar level.

C

An anterior lesion on the left side of the spinal cord at the lumbar level.

D

A posterior lesion on the left side of the spinal cord at the thoracic level.