Published: 3 January 2018
Author(s): Matthew R. McCann, Mauricio F. Villamar
Issue: January 2018
Section: Internal Medicine Flashcard

A previously healthy 28-year-old man presented to the trauma department after being stabbed in the head, neck, and torso by multiple assailants. He was able to speak and breathe independently. Neurological examination revealed partial ptosis and miosis involving the left eye. There was left hemiplegia with impaired left-sided proprioception and vibratory sense. Babinski reflex was elicited on the left. A spinal level was noted on the right, with diminished sensation to pain and temperature from the C7 dermatome inferiorly.

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