Fundamentals of Neurology by Mattle Heinrich; Mumenthaler Marco;

Author:Mattle, Heinrich; Mumenthaler, Marco;
Language: eng
Format: epub
Publisher: Thieme
Published: 2016-12-14T00:00:00+00:00

Involvement of the spinothalamic tracts and the pain and temperature fibers crossing in the anterior spinal commissure: dissociated sensory deficit in the entire region of the body at and below the level of the lesion; less commonly, the spinothalamic tracts are spared and there is a segmentally restricted dissociated sensory deficit.

Intact posterior columns: no impairment of touch or proprioception.

Bladder dysfunction.

Lesions of Both Posterior Columns

Note

Sensations to touch, proprioception, and vibration sense are impaired, but the anterolateral columns are intact and there is thus no deficit of muscle strength or of pain and temperature sensation. The patient’s stance and gait are markedly ataxic.

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