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What is A patient involved in a road traffic accident presents with quadriparesis, sphincter disturbance, sensory level up to the upper border of sternum and a respiratory rate of 35/minute.The likely level of lesion is: and explain in detail?
Spinal cord lesion at C4-C5 shows impaired diaphragm activity, increased rate of respiration compensated by intact accessory muscles of respiration. Sensations are spared till the sternal border. Deltoid and biceps muscles are also spared. Ref: The Cervical Spine By Charles Richard Clark, Edward C.Benzel, 2005, Page 181; Harrison's Principles of Internal Medicine, 17th Edition, Page 2588.