Central Nervous System & Special Senses · NEET PG Preparation Physiology

A lesion of the dorsal column-medial lemniscal pathway at the level of the cervical spinal cord will result in which of the following findings ipsila…

Practice question from Central Nervous System & Special Senses (NEET PG Preparation Physiology), with the correct answer and a step-by-step solution.

hard · MCQ · Q-128DB1

A lesion of the dorsal column-medial lemniscal pathway at the level of the cervical spinal cord will result in which of the following findings ipsilaterally below the lesion?

  1. A.Loss of pain and temperature sensation
  2. B.Loss of crude touch and pressure
  3. C.Loss of conscious proprioception, vibration, and fine touchCorrect answer
  4. D.Spastic paralysis and hyperreflexia

Solution

The dorsal columns (fasciculus gracilis and cuneatus) carry conscious proprioception, vibration, and fine (discriminative) touch. These fibers ascend ipsilaterally and cross in the medulla, so a spinal cord lesion causes ipsilateral deficits below the lesion.

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