Neuroanatomy basics · USMLE Step 1

A lesion affecting the dorsal columns below the medulla produces which deficit?

  1. Contralateral vibration loss
  2. Ipsilateral vibration loss
  3. Contralateral pain loss
  4. Ipsilateral pain loss
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Correct answer: Ipsilateral vibration loss

Dorsal column fibers ascend ipsilaterally until they decussate in the medulla. Spinal cord lesions produce ipsilateral loss of vibration and proprioception.

Difficulty: Medium Question 19 of 20

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