Localization: Clues from the Examination
Distribution | Localization |
---|---|
Hemisensory | Parietal, subcortical, thalamic, none (functional) |
Crossed (ipsilateral face and contralateral body) | Brainstem |
Sensory level | Spinal cord |
Suspended, dissociated sensory level (pain and temperature only) | Central cord |
Crossed sensory level (ipsilateral weakness and posterior column loss, contralateral pain and temperature loss) | Hemi-cord (Brown Séquard) |
Dermatomal | Spinal nerve root(s) |
Saddle | Cauda equina |
Patchy, single limb | Plexopathy |
Glove and stocking | Generalized peripheral neuropathy |
Discrete (non-dermatomal) area in single limb | Single peripheral nerve, central (usually cortical) |
No sensory loss | Muscle, NMJ, motor neuron, motor cortex |