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Symptoms and Signs – Differential Diagnosis of distribution of Sensory disturbance
Hemisensory loss (arm, trunk, leg) + ipsilateral facial sensory loss: Contralateral thalamic lesion
Hemisensory + contralateral facial sensory loss:
Contralateral brainstem (ipsilateral to the facial sensory loss)
Bilateral lower limbs and trunk {below a dermatomal sensory level): lPin prick/temperature sensation: bilateral spinothalamic tracts l}oint position/vibration sensation: bilateral dorsal columns
Hemisensory loss (leg and trunk below a dermatomal sensory level):
Reduced Pin prick/temperature sensation: contralateral spinothalamic tracts lloint Reduced position/vibration sensation: ipsilateral dorsal columns
Upper arms and trunk ('suspended sensory loss' for pin prick and temperature): Central spinal cord (e.g. syringomyelia)
Glove-and-stocking: Peripheral neuropathy Cervical myelopathy
Dermatomal Peripheral nerve
Hemisensory loss (arm, trunk, leg) + ipsilateral facial sensory loss: Contralateral thalamic lesion
Hemisensory + contralateral facial sensory loss:
Contralateral brainstem (ipsilateral to the facial sensory loss)
Bilateral lower limbs and trunk {below a dermatomal sensory level): lPin prick/temperature sensation: bilateral spinothalamic tracts l}oint position/vibration sensation: bilateral dorsal columns
Hemisensory loss (leg and trunk below a dermatomal sensory level):
Reduced Pin prick/temperature sensation: contralateral spinothalamic tracts lloint Reduced position/vibration sensation: ipsilateral dorsal columns
Upper arms and trunk ('suspended sensory loss' for pin prick and temperature): Central spinal cord (e.g. syringomyelia)
Glove-and-stocking: Peripheral neuropathy Cervical myelopathy
Dermatomal Peripheral nerve
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