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

Damage to which tract produces loss of conscious proprioception (vibration and joint position sense) in the ipsilateral lower limb?

  • A Anterior spinocerebellar tract
  • B Fasciculus gracilis
  • C Posterior spinocerebellar tract
  • D Lateral spinothalamic tract
Correct answer: B. Fasciculus gracilis

Explanation

The fasciculus gracilis (medial part of the posterior funiculus) conveys conscious proprioception, vibration sense, discriminative touch, and two-point discrimination from the ipsilateral lower limb. Its first-order neurons ascend ipsilaterally to synapse in the nucleus gracilis of the medulla; second-order fibers then cross as internal arcuate fibers to form the medial lemniscus. The spinocerebellar tracts carry unconscious proprioception. The lateral spinothalamic tract carries pain and temperature.

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

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