This is a Gold standard of Teaching; (1) Using a board, (2) A teacher illustrating on the board, (3) and the students jotting down points. There is nop substitute for this. Too much use of technology distorts and confuses the learners. All the best Dr Matt and Mike.
Thank you Dr Mike for this amazing video. I've spinal disease and have had several surgeries, just waiting for a 5th. You've explained a lot of the weird stuff I experience e.g. the difference between feeling pain and touch. Could never understand why certain things felt the way they do. I can feel pain (lots) yet can't always feel touch. Can't tell you what an amazing thing you have to be able to explain in terms lay folk can understand. God bless you for that and warm greetings from North Wales UK
Thank you, Dr Mike. I have been learning from your lectures and through them, I have passed my OSCE. I love your teaching style, and how you make lessons easier for my understanding. I will be starting non-medical prescribing course and wondering if you provide courses/lessons on pharma.
Thank you for the great explanation, just some correction : Spinothalamic pathway conducts Superficial senses(Temperature, Crude touch, Pain) and Dorsal column pathway conducts Deep senses(Vibration, Joint location,Pressure, Fine touch, Two point discrimination).
@@air_howl5316 I know this was 5 months ago but I really want to answer you because I actually know something lmao. Basically fine (discriminative) touch is when you can localize the stimulus and crude (non-discriminative) touch is when you cannot localize the stimulus.
@@air_howl5316 Fine touch (or discriminative touch) is a sensory modality that allows a subject to sense and localize touch. The form of touch where localization is not possible is known as crude touch.
Thanks. I am happy that a there is a healthy individual teaching this. Do we know what the name of the disc that the spinal cord goes through that has a bull horn like structure?
Thanks for explaining the pain pathway as well. I had a hard time finding that online. Where are the soma of the neurons that detect the finger injury located? In the part of the spinal cord inside your neck?
What’s the purpose of testing light touch, vibration AND proprioception during a neurological examination since they are all the dorsal column? It is acceptable to test sensations via the dorsal column and spinaothalamic tract using only light touch and pin prick across all dermatomes?
Thank you for your explanation. Please I have a question in regards to the somatosensory pathway. I do understand that when it comes to the Pain/Temperature/Coarse touch pathway, a damage to one side of the brain (left) or a hemisection on the same side (left of spinal cord) will lead to a loss of this function on the contralateral side. However, I am confused when it comes to the pathway for fine touch and proprioception. Please would you say that a patient with a left sided hemisection will retain fine touch and proprioception on the contralateral side. However, when the injury is on the level of the brain (left cerebral hemisphere), would fine touch and proprioception be lost on the contralateral side this time?
the video is useless but not clear you have not mentioned the name of nucleus tract will pass through but thank you please add full information in video it really mean for medico like me 🙂
This is a Gold standard of Teaching; (1) Using a board, (2) A teacher illustrating on the board, (3) and the students jotting down points. There is nop substitute for this. Too much use of technology distorts and confuses the learners. All the best Dr Matt and Mike.
Dr. Matt and Dr. Mike single handedly helping me pass my neuro class 🫶🏼
Thank you, I'm a Nigerian medical student, watching your video was really useful to me
Thank you Dr Mike for this amazing video. I've spinal disease and have had several surgeries, just waiting for a 5th. You've explained a lot of the weird stuff I experience e.g. the difference between feeling pain and touch. Could never understand why certain things felt the way they do. I can feel pain (lots) yet can't always feel touch. Can't tell you what an amazing thing you have to be able to explain in terms lay folk can understand. God bless you for that and warm greetings from North Wales UK
U r genius when it comes to explaining!!!
you are saving my life in these neuroscience shenanigans thank you so much
This guy is a life saver and very good at what he does.
Thank you, Dr Mike. I have been learning from your lectures and through them, I have passed my OSCE. I love your teaching style, and how you make lessons easier for my understanding. I will be starting non-medical prescribing course and wondering if you provide courses/lessons on pharma.
U explain topics in a very clear way! Thank you so much!
Thank you so much for making this video! I was having a terrible time with the clinical implications of these tracks and you simplified it for me 🙏
It's a great video and so easy to understand. Thank you so much!
Thank you for the great explanation, just some correction : Spinothalamic pathway conducts Superficial senses(Temperature, Crude touch, Pain) and Dorsal column pathway conducts Deep senses(Vibration, Joint location,Pressure, Fine touch, Two point discrimination).
Whats the diff between fine touch and crude touch?
@@air_howl5316 I know this was 5 months ago but I really want to answer you because I actually know something lmao. Basically fine (discriminative) touch is when you can localize the stimulus and crude (non-discriminative) touch is when you cannot localize the stimulus.
@@chloeash1981 thank youuuu I appreciate it😁😁good answer.
@@air_howl5316 Fine touch (or discriminative touch) is a sensory modality that allows a subject to sense and localize touch. The form of touch where localization is not possible is known as crude touch.
You're really good at explaining this.
Thank you so much ..I was thinking it was so difficult which I was about to leave ..saw ua video and it's so faking easyyyyy
Great explanation Dr. Mike. You are a gifted individual. Respect from Canada
Finally understood... Thank you so much
Thank you! makes so much more sense now! Really helped me to understand the symptoms of SCI in relation to the decussation of spinal tracts.
Dr. Mike saves the day once again
Just saved my life with this 😭😭😭
thanks Dr. mike for this video. On a light note, the secondary neuron in the spinothalamic tract doesn't have a cell body
Powerfull....straight to the point
You saved my life, thank you so much!!!!!!
Thankyou ! My book didn’t describe contralateral and ipsilateral to the point like this
Amazing video!
god bless you sir
Thank you very much, great explanation 👍👍
i cant thank you enough for this amazing video god bless you
Thanks a lot from Italy 🙏🙏🙏
THIS IS SO HELPFUL THANKS SO MUCH!!
Very good attempt ❤
Great explanation 💛💛
Finally I understand! Thank you soooo much!!!!
This is awesome, very accessible!
Perhaps this difference in pathways (one ipsilateral, one contralateral) is protective. It means we don't lose all our sensation on one side.
I love you , you save me in med school
Great Video! I kind of wish you explained the Fas Gracilis & Fas Cuneatus details for the Dorsal Column tract though
OMG, you are amazing. Thanks so much.
Thanks. I am happy that a there is a healthy individual teaching this. Do we know what the name of the disc that the spinal cord goes through that has a bull horn like structure?
You're THE BEST!
Thanks for explaining the pain pathway as well. I had a hard time finding that online. Where are the soma of the neurons that detect the finger injury located? In the part of the spinal cord inside your neck?
Hej man, might be a but to late but the soma or cell Bodies is located in the dorsal root ganglion in the dorsal root of the spinal cord (outside CSN)
Raduuuuuuuuuuuuuuu
Awesome video! Thank you so much for uploading this :D
perfectly explained
Great videos, thanks you.
thank u Dr. mike
Great explanation!!!
You are Great!
thanks
So awesome video lecture sir thanks in please make video's
What’s the purpose of testing light touch, vibration AND proprioception during a neurological examination since they are all the dorsal column? It is acceptable to test sensations via the dorsal column and spinaothalamic tract using only light touch and pin prick across all dermatomes?
Fine touch and light touch, are the same thing?
❤ 9:38
Thankss
Thank you for your explanation. Please I have a question in regards to the somatosensory pathway. I do understand that when it comes to the Pain/Temperature/Coarse touch pathway, a damage to one side of the brain (left) or a hemisection on the same side (left of spinal cord) will lead to a loss of this function on the contralateral side. However, I am confused when it comes to the pathway for fine touch and proprioception. Please would you say that a patient with a left sided hemisection will retain fine touch and proprioception on the contralateral side. However, when the injury is on the level of the brain (left cerebral hemisphere), would fine touch and proprioception be lost on the contralateral side this time?
Good job thanks 🤍👏🏼
Thank you soooo much!!
is there just one single first neuron or many, in your example?
hi doctor?i want to know the three sensory laws?
Heey where did the rest of the video go 😢
Thank you 😊 but trying talking louder I increased my volume so high to hear you😢
Why thu?
👏👏👏😊
you forgot to explain what dcml pathway means
Dorsal column medial lemniscus!!
ok rdj
Makes me uneasy when you refer to the thalamus as the thalmus
the video is useless but not clear you have not mentioned the name of nucleus tract will pass through but thank you please add full information in video it really mean for medico like me 🙂