Facial light touch loss with preserved pinprick after pontine infarct

A 58-year-old man is brought to the ED after sudden-onset dizziness and vomiting. Neurologic exam shows decreased sensation to light touch and vibration on the right side of the face. Pinprick sensation on the face is intact bilaterally. Body sensation is normal. Strength is full. MRI shows a small infarct in the rostral pons. Which of the following structures is most directly responsible for this patient’s facial sensory deficit?

(Assume the lesion involves the trigeminal sensory system at the level where CN V enters the pons.)

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Facial light touch loss with preserved pinprick after pontine infarct | QWorld.Ai