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Old 02-15-2012
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Hammer and Otoscope Two Point Discrimination; Level of lesion

patient has lost ability to discriminate between 2 points simultaneously to skin of left hand. your neurological evaluation is most likely to reveal a lesion in ?
(from Kaplan neuroscience part chapter 4 question )

answer is medial lemnicus on right side of pons

i chose Dorsal column on the right side of spinal cord at T5...

why my answer was wrong? guide me pls..
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Old 02-15-2012
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its the same tract but different level.

dorsal column @ spinal level will be ipsilateral ie left sided.
medial leminiscus @ medulla will be contralateral lesion ie right sided.
if ur ready to is ready to teach...take d leap!!
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The above post was thanked by:
cabreravelezmd (02-15-2012), ethan_kien (02-15-2012)


Clinical-Signs, Neuroanatomy-

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