Case 2: Question 2

A 42-year-old woman fell off a ladder and fractured her spine in the lower back region. Neurological examination one week later revealed the following abnormalities:

  • paralysis and increased deep tendon reflexes of the left leg
  • Babinski sign on the left
  • loss of proprioception, vibration and discriminative touch sensation of the entire left leg
  • complete anesthesia of a strip across the hip and along the upper front thigh on the left side
  • loss of pain and temperature sensation in the right leg and buttock

Question 2: Is the lesion above or below the foramen magnum?

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