Posterior column syndrome

Causes

• Syphilitic myelopathy (Tabes dorsalis)
• External compression (eg cervical spondylosis)
• Ischemic (posterior spinal artery infarct)
• Posterior column ataxia with retinitis pigmentosa (PCARP)

Clinical presentation

• Impaired proprioception and vibration perception
• Sensory ataxia, positive Romberg sign
• Preserved pain and temperature perception