Description

A lesion involving upper motor neurons will result in a number of clinical findings.


 

Locations of the upper motor neurons:

(1) premotor cortex and supplementary motor area

(2) primary motor neurons

 

Descending tracts:

(1) limbic motor area

(2) vestibulospinal tracts

(3) reticulospinal tracts

(4) tectospinal tracts

(5) corticospinal and corticobulbar tracts (lateral and ventral pyramidal tracts)

 

Clinical findings:

(1) decrease in dexterity

(2) slowing of movements

(3) muscle weakness

(4) spastic muscles

(5) pathologic reflexes and pathologic hyperreflexia

(6) pseudobulbar palsy (if cranial motor neurons affected)

 


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