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Table 18.4

Localization: Clues from the Examination

DistributionLocalization
HemisensoryParietal, subcortical, thalamic, none (functional)
Crossed (ipsilateral face and contralateral body)Brainstem
Sensory levelSpinal 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)
DermatomalSpinal nerve root(s)
SaddleCauda equina
Patchy, single limbPlexopathy
Glove and stockingGeneralized peripheral neuropathy
Discrete (non-dermatomal) area in single limbSingle peripheral nerve, central (usually cortical)
No sensory lossMuscle, NMJ, motor neuron, motor cortex