9. Other Somatic Sensation Flashcards
Sensory receptors in deeper somatic structures
Proprioceptors
Sensory receptors in the skin, mediating superficial sensation
Exteroceptors
Touch
Meissner corpuscles
Pressure
Merkel discs
Warmth & skin stretch
Ruffini plumes
Cold
Krause end bulbs
Vibration & tickle
Pacinian corpuscles
Pain
Free nerve endings
The sensation most commonly diminished with advancing age (especially at the toes & ankles)
Vibration
Inability to recognize shape & form
Stereoanesthesia
Inability to identify an object by palpation, even though the primary sense data are intact
Astereognosis
A disturbance in which a one-sided lesion lying posterior to the post-central gyrus of the dominant parietal lobe results in an inability to recognize an object by touch in both hands
Tactile agnosia
Symmetrical distal sensory loss
Sensory loss may affect one modality preferentially
Areflexia or hyporeflexia
Weakness, if present, symmetrical
Polyneuropathy
Asymmetrical sensory & motor loss
Proximal & distal parts of limb differentially affected
Reflex loss limited to region of affected root(s)
Polyradiculopathy
Implicates all sensory modalities
Proximal body parts affected
Ataxia
Ganglionopathy
Prominent loss of position & vibration sense in feet
Romberg sign
Secondary (Charcot) joint deformities
Areflexia
Tabetic syndrome
Loss of all sensory modalities below level of lesion
Complete transverse lesion of the SC/ complete spinal sensory syndrome
Loss of pain sense opposite to the lesion & beginning several levels below it
Loss of vibration & joint position sense on the side of the lesion & below it
Hemicord/ Brown-Sequard
Loss of pain & thermal sense with preservation of touch & position/vibration over restricted region of neck, cape, arms, & hands
Syringomyelia
Same as tabetic syndrome but reflexes are preserved
Posterior column syndrome
Loss of pain & temperature sensation below the level of the lesion with relative or absolute sparing of proprioceptive sensation; spastic paralysis is a prominent feature
Anterior myelopathy/ Anterior spinal artery syndrome