NEURON LIMB WEAKNESS - BILATERAL
Face (lower , motor neuron)
Useful localising features (not always present)
Facial movements lost but vertical eye movements retained 'locked-in syndrome'.
BILATERAL PONTINE LESION
PARESIS) yo Face spared am Both (( ) arms
Both legs '
Facial movements retained, but no tongue or palate movement or speech - a variant of the 'locked-in' syndrome.
Ventilatory support required (no cranial nerve lesion).
Discriminatory sensory loss. 'Frontal' incontinence. (Pain and temperature sensation intact.)
'Sensory level' - impairment or loss of all sensory modalities. Hesitancy of micturition or acute urinary retention.
Weakness of the palate and tongue on the side of the arm weakness.
BILATERAL CERVICAL SPINE LESION
MEDULLARY LESION (below 'arm' fibre decussation above 'leg' fibre decussation)
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