The mnemonic
Dorsal Medulla, Spinothalamic Spinal
What each word stands for
- Dorsal columnFine touch, vibration and proprioception cross in the medulla
- SpinothalamicPain and temperature cross in the spinal cord within a segment or two
- ResultBrown-Séquard shows ipsilateral touch loss and contralateral pain loss
Why it matters clinically
Predicts the pattern of sensory loss with spinal cord lesions.
Where it stops being reliable
It does not cover tract positions or dissociated loss in syringomyelia.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.