A 48-year-old woman presents with sudden-onset bilateral leg weakness and loss of pain and temperature sensation in both legs and lower trunk. Vital signs show BP 128/82, HR 92, RR 16, Temp 37°C, SpO2 98%. Upper extremity strength and sensation remain intact. She reports urinary retention and fecal incontinence. MRI reveals central cord cavitation at T10. Which spinal cord syndrome explains these findings?
- A)Central cord syndrome at the cervical level
- B)Posterior cord syndrome at the cervical level
- C)Brown-Séquard syndrome at the thoracic level
- D)Cauda equina syndrome at the lumbosacral level
- E)Anterior cord syndrome at the thoracolumbar junctionGABARITO
Explicação
Anterior cord syndrome causes bilateral lower extremity motor weakness, bilateral loss of pain/temperature sensation (spinothalamic tracts), and preserved proprioception (posterior columns). Bowel/bladder dysfunction occurs with involvement of autonomic fibers... Ver explicação completa e trilha adaptativa →