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Figure 1. A 54-year-old woman presented with paresthesias of the arms, occipital headache, and pain in the back of the neck. Neurologic examination revealed evidence of decreased sensitivity to pinprick, temperature, and light touch over the lower part of the left side of the neck, left hemithorax, left arm, left thigh, and left side of the abdomen. A sagittal T1-weighted gadolinium-enhanced view (Panel A) shows an enhancing, elongated metastatic lesion (arrow) from small-cell carcinoma of the lung. A magnetic resonance image obtained three months after palliative radiotherapy (Panel B) shows only a faint area of intramedullary enhancement (arrow) . . . [Full Text of this Article] |