A 32-year-old man comes to the office complaining of back pain for the last month. The patient describes the pain as severe and wakes him up at night. Physical examination does not illustrate any abnormalities. Spinal MRI is done, and it shows meningioma at the C5 Spinal level compressing the medial segment of the dorsal column. Which of the following would be the earliest clinical manifestation?

Question

Quizplus · Accepted Answer

Eductional Objective: Vibration, proprioception, and light touch sensory functions are transmitted in the posterior spinal cord through the dorsal column. The lower limb sensory signals are transmitted in the medial portion through the gracile fasciculus. While the upper limb signals are carried in the cuneate fasciculus which is found more laterally.

A 32-Year-Old Man Comes to the Office Complaining of Back