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Question
what spinal cord lesion preserves sacral sensation due to the spared peripheral tracts of the spinal cord? brown - sequard syndrome transverse cord lesion large central cord lesion anterior cord lesion
Large central cord lesions affect the central part of the spinal cord first, sparing the peripheral tracts that carry sacral sensory signals. This results in preserved sacral sensation, a pattern called sacral sparing. Other listed lesions do not cause this specific sparing pattern: Brown-Sequard affects one side, transverse lesions damage all tracts, and anterior cord lesions spare posterior (not peripheral sacral) tracts.
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Large central cord lesion