Anatomy · Neuroanatomy — Tracts, Nuclei and Lesion Localization (Advanced)

Damage to the right dorsal column at the T10 level will cause loss of which modality in which body part?

  • A Left lower limb vibration sense and conscious proprioception
  • B Right lower limb vibration sense and conscious proprioception
  • C Right lower limb pain and temperature
  • D Bilateral lower limb vibration sense
Correct answer: B. Right lower limb vibration sense and conscious proprioception

Explanation

The posterior (dorsal) columns are ipsilateral — primary afferents ascend uncrossed in the fasciculus gracilis (lower limb) and fasciculus cuneatus (upper limb) to the medullary nuclei, where second-order neurons decussate. Damage at T10 on the right disrupts ipsilateral (right) lower limb vibration sense, joint position, and two-point discrimination. Pain and temperature are carried by the contralateral spinothalamic tract after decussating one to two segments from entry.

Reference: BD Chaurasia's Human Anatomy, 8th ed.

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