06-30-2012, 01:11 PM
A 13 y/o boy is brought to the clinic by his parents cz "he cannot walk anymore".Yesterday he became irritable, uneasy and complained of tingling and wkness in both his legs.This morning, he couldn't stand up or move his legs and complained of pain in his legs and thigh muscles.He denies any headaches, nausea or vomiting.He had an episode of febrile diarrhea 10 days ago.his family hx is unremarkable.Physical examination reveals symmetric flaccid paralysis of both legs, absent deep tendon reflexes and decreased superficial touch and vibratory sense.there is no nuchal rigidity.What structure is most likely affected in this pt's condition ?
A-Cerebral cortex
B-Medial lemniscus
C-Corticospinal tract
D-Gracile fasciculus
E-Cuneate fasciculus
F-Peripheral nerves
A-Cerebral cortex
B-Medial lemniscus
C-Corticospinal tract
D-Gracile fasciculus
E-Cuneate fasciculus
F-Peripheral nerves
