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Subjects/Anatomy/AIIMS 2018
AIIMS 2018
medium
bone Anatomy

Patient presented with imbalance on walking with eyes closed and has to lift up foot and stomp on ground to walk. The tract involved is:-

A. Spinocerebellar tract
B. Dorsal column tract
C. Lateral spinothalamic tract
D. Vestibulospinal tract

Explanation

Case described is of SENSORY ATAXIA - d/o damage to dorsal column of spinal cord. Dorsal column tract: - N. gracilis & N. cuneatus - Carry pressure, vibration, stereognosis & conscious proprioception tactile discrimination Damage leads to: - - Sensory ataxia - Stomping gait - d/o loss of conscious proprioception - Romberg test positive (Pt loses balance with closed eyes). Spinocerebellar tract: - - Carry unconscious proprioception - Damage leads to cerebellar ataxia - wide based gait. Spinothalamic tract: - - Carries pain, temperature (lateral spinothalamic) - Pressure & touch (ventral spinothalamic) Note: Other causes of sensory ataxia 1. Neurosyphilis (tabes dorsalis) 2. DM - II (affects dorsal column) 3. Vit B12 deficiency

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