Motor symptoms

Monoparesis and paraparesis are the most common motor symptoms. Hemiparesis and quadriparesis occur less commonly.

Paraparesis is the result of spinal demyelination, usually in the cervical region.

Signs: - Increased tone

- Hyperactive tendon reflexes, extensor plantar response and absent abdominal reflexes

- Pyramidal distribution weakness n.b. A plaque at the anterior root exit zone will result in lower motor neuron signs (reflex loss and segmental wasting)

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