Clinical features
The clinical features of syringobulbia include:
- facial pain and dissociated sensory loss:
- the Vth cranial nerve is damaged as it descends into the cervical spine
- sensory loss begins at the back of the face and progresses forward, sparing the tip of the nose
- vertigo and nystagmus - VIII cranial nerve
- facial, palatal or laryngeal palsy - VII, IX, X, XI cranial nerves dysfunction
- wasted tongue - XII cranial nerve dysfunction
- Horner's syndrome - sympathetic loss
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