Sunday 24 July 2016

Dorsal column lesion | Crack PGIMER NOV 2016


A dorsal column lesion is associated with loss ofwhich of the following modalities?

A. Pain
B. Light touch
C. Vibration sense
D. Proprioception
E. Temperature sense



The answer is.  B. Light touch, C. Vibration sense, D. Proprioception
The dorsal column spinal pathway carries sensation of:
• vibration
• proprioception
• half the touch fibres
These fibres have their cell bodies in the dorsal root ganglia.

The fibres then travel via the posterior nerve roots up thedorsal column without relaying in the cord. The fibres relay inthe medulla - in the nucleus gracilis (fibres from below themid-thoracic region) and cuneatus (fibres from above thispoint) - and cross the midline to continue as the mediallemniscus to the thalamus.