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Ascending somato-sensory pathways
Home > 1.4 Effects of lesions to somatosensory and motor pathways > 1.4.2 Effects of lesions to pyramidal motor pathways
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Lesions to lateral corticospinal tract: below pyramidal decussation


Lesion of corticospinal pathways: below decussation

RESULT: Ipsilateral spastic paralysis

 

 

  • Muscle tone increases.
  • Reflexes are still intact, but now, lacking descending control, they are exaggerated.
  • Muscle fibres do not fasciculate or waste away.
  • Paralysis of muscles occurs on the side contralateral to the lesion, below the lesion, as axons have already crossed over.

Lesions to lateral corticospinal tract: below pyramidal decussation

RESULT: Ipsilateral spastic paralysis

 

 

  • Muscle tone increases.
  • Reflexes are still intact, but now, lacking descending control, they are exaggerated.
  • Muscle fibres do not fasciculate or waste away.
  • Paralysis of muscles occurs on the side contralateral to the lesion, below the lesion, as axons have already crossed over.

© King's College London 2011 | Content & original graphics by Professor Lawrence Bannister | Interface design & development by EHM, CTEL | Content development by Julia Warner, VC TEL