Patterns of sensory loss

Question 1

Sudden onset complete loss of sensation on face and body of one side. Also deep aching pain in that side’s limbs

Answer 1

Thalamic infarct

Question 2

Gradual onset tingling and burning in glove and stocking distribution, numb to pain, fine touch and vibration. Reflexes absent

Answer 2

Peripheral neuropathy

Question 3

Vitiligo, numb feet, unsteady + falls, anaemic with high mean cell volume
Loss of vibration sense below waist
Loss of feet proprioception 
Pain and strength fine
Sensory ataxia

Answer 3

Subacute combined degeneration- B12 deficiency

Question 4

What can B12 deficiency also cause?

Answer 4

Peripheral neuropathy and dementia

Question 5

Paraplegia of both legs, loss of pain and temp below umbilicus but vibration and proprioception preserved

Answer 5

Anterior spinal syndrome

Question 6

Vertigo, unsteadiness, hoarse voice, difficulty swallowing
Horner’s on one side
Loss of pain and temp one side of face, other side of body

Answer 6

Wallenbergs syndrome/lateral medullary syndrome

Question 7

Pain and temp first affected- both hands and cape like distribution across body
Wasting small muscles of hands, weakness in legs
Later: partial paralysis of lower limbs and root lesions

Answer 7

Syringomyelia

Question 8

3 things parietal cortex problem causes

Answer 8

Hemisensoryneglect
Dysgraphaesthesia
R/L confusion