Image IQ: 34-year-old Male, Worsening Numbness and Weakness

December 11, 2014

34-year-old male presented with worsening numbness and increasing weakness in right hand, progressing to proximal right upper extremity.

A 34-year-old male presented with worsening numbness and increasing weakness in the right hand, progressing to involve the proximal right upper extremity. No family history of VHL. Outside brain MRI revealed a lesion in the cervicomedullary junction, further work-up with dedicated spinal MRI as shown.

 

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