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Postcentral gyrus of parietal lobe

Nucleus gracilis Nucleus cuneatus

To cerebellum

To cerebellum

Nucleus gracilis Nucleus cuneatus

Dorsal spinocerebellar tract

Ventral spinocerebellar tract

Fasciculus gracilis

Fasciculus cuneatus

Fasciculus gracilis

Fasciculus cuneatus

Ventral spinocerebellar tract

Ventral spinocerebellar tract

Figure 21-9 Conscious appreciation of sensation. A, Nerve pathways for pain and temperature sensation through the lateral spinothalamic tracts. B, Pathways of the fibers carrying proprioceptive sensation through the posterior columns and in the spinocerebellar tracts.

Review of Specific Symptoms

The most common symptoms of neurologic disease are as follows:

# Loss of consciousness

Changes in consciousness Visual disturbance Dysphasia Dementia

Cerebrovascular accident

# Gait disturbance

Tremor ''Numbness'' ''Weakness'' Pain

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