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Abstract Conventional thinking embraces the idea that various forms of touch and proprioceptive sensibilities are mediated by pathways residing in that sector of the spinal cord termed the posterior columns. In correlative neuroanatomical texts,1 it is customary to find this expressed as follows: "It is evident that the fibers related to tactile and proprioceptive sensibility are intermingled in the dorsal funicular region or dorsal columns of the spinal cord. A destruction of the dorsal funiculus will obviously prevent the conduction of these tactile and proprioceptive impulses to higher centers from all segments of the body below the level of the lesion, on the side of the lesion." It is precisely upon concepts of this character that the clinician bases his diagnostic approach in part, and with considerable success, in the study of a patient with disease of the spinal cord. Our thoughts, too, followed similar patterns until observations in man References 1. Crosby, E. C.; Humphrey, T.; and Lauer, E. W.: Correlative Anatomy of Nervous System , The MacMillen Company 1962, p 89. 2. Browder, E. J., and Gallagher, J. P.: Dorsal Cordotomy for Painful Phamtom Limb , Ann Surg 128:456-469, 1948.Crossref 3. Rabiner, A. M., and Browder, E. J.: Concerning Conduction of Touch and Deep Sensibilities Through Spinal Cord , Trans Amer Neur Ass 73:137, 1948. 4. Bell, C.: On Nervous Circle Which Connects Voluntary Muscles With Brain , Phil Trans 2:163-173, 1826.Crossref 5. Gowers, W. R.: Diagnosis of Disease of Spinal Cord : Blakista & Co., 1884, p 55. 6. Head, H.; Studies in Neurology , Oxford Med Publ 2:398, 1920. 7. Head, H.; Rivers, W. H. R.; and Sherren, J.: Studies in Neurology , Oxford Med Publ 1:55-65, 1920. 8. Trotter, W. B., and Davies, H.: J Physiol 38:134, 1909. 9. Sherrington, C.: Selected Writings , London: Paul B. Hoeber, Inc., 1939. 10. Wollard, H. H.; Weddell, G.; and Harpman, J. H.: J Anat 74:113, 1940. 11. Walshe, F. M. R.: Critical Studies in Neurology , The Williams and Wilkins Company, 1948. 12. Gardner, E. D., and Morin, F.: Amer J Physiol 174:149-154, 1953. 13. DeVito, J.: Study of Sensory Pathways in Monkey , Univ Wash, 1954. 14. Denny-Brown, D., and Gilman, S.: Behavioral Effects of Dorsal Column Lesions, read before Meeting of American Neurological Association, 1963. 15. Wall, P. D., and Cronly-Dillon, J. R.: Pain, Itch, and Vibration , Arch Neurol 2:365-375, 1960.Crossref 16. Lashley, K. S., and Ball, J. J.: Comp Psychol 9:71-105, 1929.Crossref 17. Mettler, F. A., and Liss, H.: Functional Recovery in Primates After Large Subtotal Spinal Cord Lesions , J Neuropath Exp Neurol 18:509, 1959.Crossref 18. Jane, J. A.; Evans, J. P.; and Fisher, L. E.: Investigation Concerning Restitution of Motor Function Following Injury to Spinal Cord , J Neurosurg XXI:167-171, 1964.Crossref 19. Head, H.: Studies in Neurology , Oxford Med Publ 2:333-406, 1920.
Archives of Neurology – American Medical Association
Published: Jan 1, 1965
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