A 22-year-old student was driving home from a party and crashed his car head on into a brick wall. On examination in the emergency department, he was found to have a fracture dislocation of the seventh thoracic vertebra, with signs and symptoms of severe damage to the spinal cord.
-On recovery from spinal shock, he was found to have the following signs and symptoms except which?
A) Fracture dislocation of the seventh thoracic vertebra, which would result in severe damage to the seventh thoracic segment of the spinal cord
B) A band of cutaneous hyperesthesia extending around the abdominal wall on the left side at the level of the umbilicus that was caused by the irritation of the cord immediately above the site of the lesion
C) On the right side, total analgesia, thermoanesthesia, and partial loss of tactile sense of the skin of the abdominal wall below the level of the umbilicus involving the whole of the right leg
D) Upper motor neuron paralysis of his left leg
E) Unequal sensory and motor losses on the two sides, which indicate a left hemisection of the spinal cord
Correct Answer:
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