Boost Your Skills with 2026's NM3 Spinal Cord Injury Challenge

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In anterior cord syndrome, which sensory modalities are preserved below the level of injury?

Pain and temperature

Proprioception and vibration sense

In anterior cord syndrome, the injury affects the anterior two-thirds of the spinal cord, where the spinothalamic tracts and the corticospinal tract reside. This disrupts pain and temperature sensation and motor function below the level of injury. The dorsal columns, which run in the posterior part of the cord and carry proprioception and vibration (and fine touch), are spared. Because these posterior columns remain intact, proprioception and vibration sense stay preserved below the lesion. The other modalities—pain, temperature, and motor function—are lost due to damage to their respective tracts.

Motor function

All modalities