Article

Selective lesions of the fasciculus gracilis have been reported only in cases of
nontraumatic spinal cord disease. We present the case of a 54-year-old man who
developed persistent hypesthesia and abnormal vibratory sensation below the T6
segmental level after injuring his cervical spine after a fall. Cervical magnetic
resonance imaging (MRI) revealed ossification of the posterior longitudinal
ligament, spinal stenosis, and a C3-4 spinal cord injury. A thoracic MRI did not
reveal a spinal cord lesion. Lower thoracic dermatomal somatosensory evoked
potentials showed delayed latency. The findings in this case indicate selective
injury to the fasciculus gracilis at the level of the cervical spinal cord.
CI - Copyright (c) 2015 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS