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Brown-Séquard Syndrome 02

Topic: Anatomy

Created on Sunday, January 27 2008 by jdmiles

Last modified on Sunday, January 27 2008.

For unclear reasons, an insane grizzly bear impersonator cleanly slices through the entire right half of your spinal cord at the T6 level. You will now have which of the following deficits below the level of the lesion?

 
        A) Loss of light touch sensation on the left
 
        B) Loss of pain sensation on the right
 
        C) Loss of temperature sensation on the right
 
        D) Weakness on the left
 
        E) Weakness on the right
 

 


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This question was created on January 27, 2008 by jdmiles.
This question was last modified on January 27, 2008.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) loss of light touch sensation on the left

This answer is incorrect.


The injury described gives rise to the Brown-Sequard syndrome. This syndrome consists of weakness and loss of proprioception and vibration sensation and ipsilateral to the lesion, and loss of pain and temperature on the contralateral side. There is usually little loss of tactile sensation.  (See References)

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B) loss of pain sensation on the right

This answer is incorrect.


The injury described gives rise to the Brown-Sequard syndrome. This syndrome consists of weakness and loss of proprioception and vibration sensation and ipsilateral to the lesion, and loss of pain and temperature on the contralateral side. There is usually little loss of tactile sensation.  (See References)

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C) loss of temperature sensation on the right

This answer is incorrect.


The injury described gives rise to the Brown-Sequard syndrome. This syndrome consists of weakness and loss of proprioception and vibration sensation and ipsilateral to the lesion, and loss of pain and temperature on the contralateral side. There is usually little loss of tactile sensation.  (See References)

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D) weakness on the left

This answer is incorrect.


The injury described gives rise to the Brown-Sequard syndrome. This syndrome consists of weakness and loss of proprioception and vibration sensation and ipsilateral to the lesion, and loss of pain and temperature on the contralateral side. There is usually little loss of tactile sensation.  (See References)

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E) weakness on the right

This answer is correct.


The injury described gives rise to the Brown-Sequard syndrome. This syndrome consists of weakness and loss of proprioception and vibration sensation and ipsilateral to the lesion, and loss of pain and temperature on the contralateral side. There is usually little loss of tactile sensation.  (See References)

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References:

1. Nolte, J. (1993). The Human Brain: An Introduction to Its Functional Anatomy. Mosby, St. Louis. (ISBN:0801674832)Advertising:
2. Byrne, T.N., and Wakman, S.G. (2004). Paraplegia and spinal cord syndromes. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 351-365 (ISBN:0750674695).Advertising:
3. Victor, M., and Ropper, A.H. (2001). Adams and Victor's Principles of Neurology, 7th Edition. McGraw-Hill, New York. (ISBN:0070674973)Advertising:
4. Rowland, L.P. (Ed) (2000). Merritt's Neurology, 10th Edition. Lippincott Williams & Wilkins, Philadelphia. (ISBN:0683304747)Advertising:
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anatomy
Brown-Séquard Syndrome 02
Question ID: 01270805
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 01/27/2008
Modified: 01/27/2008
Estimated Permutations: 9000

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