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(epicritic)
64 results
  • Ipsilateral Facial Tactile Hypesthesia in a Patient with Lateral Medullary Syndrome. [Case Reports]
  • JSJ Stroke Cerebrovasc Dis 2015; 24(11):e315-7
  • Katsumata M, Oki K, … Suzuki N
  • CONCLUSIONS: There are two types of tactile sensation: epicritic and protopathic. Facial tactile sensation is usually thought to be associated with epicritic tactile sensation, which travels through principal sensory nuclei of the trigeminal nerve. The protopathic pathway travels down through the spinal tract via the trigeminal nerve and is not considered a primary pathway. However, in this case the protopathic tactile sensation pathway might be involved, and it caused facial tactile hypesthesia. Because most of previous case reports and literature reviews focused only on thermal/pain hypesthesia, we believe that this case provides critical information on the brainstem neuroanatomy, especially for the protopathic tactile sensation pathway in patients with stroke.
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