Info

Central pareses

Peripheral pareses

Fine motor control

Diminished

Largely unaffected

Muscular atrophies

None

Manifest

Tonus

Elevated spastically

Weakness

Deep tendon reflexes

Amplified (and possibly associated with clonus)

Weakened or extinguished

Pathological reflexes

Manifest

None

Coarse movements

Manifest

None

Fig. 21.6. Wernicke-Mann gait with hemiparesis of the left side following an infarct in the region supplied by the right middle cerebral artery: flexed, pro-nated, and adducted position of the left arm, extended left leg with plantar flexion and a partially supinated foot, forcing the patient's movement of the leg into an arc that swings out to the side

Fig. 21.6. Wernicke-Mann gait with hemiparesis of the left side following an infarct in the region supplied by the right middle cerebral artery: flexed, pro-nated, and adducted position of the left arm, extended left leg with plantar flexion and a partially supinated foot, forcing the patient's movement of the leg into an arc that swings out to the side

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