Chapter 6. Disorders Of Somatic Sensation

Front 1

With a central cord lesion, such as occurs in syringomyelia, following trauma, and with certain cord tumors, there is characteristically a

Back 1

loss of pain and temperature appreciation with sparing of other modalities

Front 2

With a central cord lesion, such as occurs in syringomyelia, following trauma, and with certain cord tumors, there is characteristically a

Back 2

loss of pain and temperature appreciation with sparing of other modalities

Front 3

With a central cord lesion, such as occurs in syringomyelia, following trauma, and with certain cord tumors, there is characteristically a

Back 3

loss of pain and temperature appreciation with sparing of other modalities

Front 4

A patient with a posterior column lesion may complain of a

Back 4

tight or bandlike sensation in the regions corresponding to the level of spinal involvement and sometimes also of paresthesias (like electric shocks) radiating down the extremities on neck flexion (Lhermitte sign). There is loss of vibration and joint position sense below the level of the lesion, with preservation of other sensory modalities. The deficit may resemble that resulting from involvement of large fibers in the posterior roots

Front 5

A patient with a posterior column lesion may complain of a

Back 5

tight or bandlike sensation in the regions corresponding to the level of spinal involvement and sometimes also of paresthesias (like electric shocks) radiating down the extremities on neck flexion (Lhermitte sign). There is loss of vibration and joint position sense below the level of the lesion, with preservation of other sensory modalities. The deficit may resemble that resulting from involvement of large fibers in the posterior roots

Front 6

A patient with a posterior column lesion may complain of a

Back 6

tight or bandlike sensation in the regions corresponding to the level of spinal involvement and sometimes also of paresthesias (like electric shocks) radiating down the extremities on neck flexion (Lhermitte sign). There is loss of vibration and joint position sense below the level of the lesion, with preservation of other sensory modalities. The deficit may resemble that resulting from involvement of large fibers in the posterior roots

Front 7

Autonomic disturbances may be particularly conspicuous in some peripheral neuropathies

Back 7

especially Guillain-Barre syndrome and neuropathies related to diabetes, renal failure, porphyria, or amyloidosis. Symptoms include postural hypotension, coldness of the extremities, impaired thermoregulatory sweating, disturbances of bladder and bowel function, and impotence.

Front 8

Autonomic disturbances may be particularly conspicuous in some peripheral neuropathies

Back 8

especially Guillain-Barre syndrome and neuropathies related to diabetes, renal failure, porphyria, or amyloidosis. Symptoms include postural hypotension, coldness of the extremities, impaired thermoregulatory sweating, disturbances of bladder and bowel function, and impotence.

Front 9

Autonomic disturbances may be particularly conspicuous in some peripheral neuropathies

Back 9

especially Guillain-Barre syndrome and neuropathies related to diabetes, renal failure, porphyria, or amyloidosis. Symptoms include postural hypotension, coldness of the extremities, impaired thermoregulatory sweating, disturbances of bladder and bowel function, and impotence.

Front 10

Autonomic disturbances may be particularly conspicuous in some peripheral neuropathies

Back 10

especially Guillain-Barre syndrome and neuropathies related to diabetes, renal failure, porphyria, or amyloidosis. Symptoms include postural hypotension, coldness of the extremities, impaired thermoregulatory sweating, disturbances of bladder and bowel function, and impotence.

Front 11

Autonomic disturbances may be particularly conspicuous in some peripheral neuropathies

Back 11

especially Guillain-Barre syndrome and neuropathies related to diabetes, renal failure, porphyria, or amyloidosis. Symptoms include postural hypotension, coldness of the extremities, impaired thermoregulatory sweating, disturbances of bladder and bowel function, and impotence.