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Card 15 / 49:
Following a motorcycle accident, the victim loses the ability to move the right leg but has normal control over the left one, suggesting a hemisection somewhere in the thoracic region of the spinal cord. What sensory deficits would be expected in terms of touch versus pain? Explain your answer.
The right leg would feel painful stimuli, but not touch, because the spinothalamic tract decussates at the level of entry, which would be below the injury, whereas the dorsal column system does not decussate until reaching the brain stem, which would be above the injury and thus those fibers would be damaged.
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