Case 1: Question 2

A 60-year-old man collapsed while at work. After he regained consciousness in the emergency room, neurological exam was performed with the following abnormalities noted:

• paralysis in the right arm and leg
• dysarthria
• deviation of the tongue to the left when protruded
• loss of vibration, proprioception and discriminative touch sensation on the right side of the body (the face has normal sensation).
  

Question 2: Is the lesion above or below the foramen magnum?  Think about the reason for your answer.