PMC5209606_01
(a) Wasting of bilateral hands. (b) Wasting of the left forearm with sparing of brachioradialis muscle.
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fig1
Both forearms and hands were weak and wasted with preservation of brachioradialis muscles (Figures 1(a) and 1(b)).
(a) MRI showing focal symmetrical atrophy of spinal cord with intramedullary T2 hyperintensity. (b) MRI showing forward displacement of the posterior subdural sac on flexion of neck, with prominent epidural space.
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fig2
The MRI study (Figure 2(a)) revealed focal symmetrical atrophy of spinal cord in C5-C6 region with intramedullary T2 hyperintensity predominantly in the region of anterior horns.