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A 24-year-old man with a history of a complete T5 spinal cord injury requiring acute surgical decompression and stabilisation presented 4 months postinjury with progressive, ascending spinal cord symptoms consisting of upper-extremity weakness, paraesthesias and hypoesthesia. T2-weighted MRI of the cervical and thoracic spine revealed central cystic dilation of the spinal cord (syringomyelia) from C6–T3 (fig 1A). Despite placement and subsequent revision of a T2–3 syringo-subarachnoid shunt with brief symptom resolution, the patient’s …
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