Charles Mark Wiles makes some excellent points about pyramidal weakness.1 What we observe is largely just the ‘normal’ pattern of asymmetry of strength in the upper and lower limbs, amplified… Click to show full abstract
Charles Mark Wiles makes some excellent points about pyramidal weakness.1 What we observe is largely just the ‘normal’ pattern of asymmetry of strength in the upper and lower limbs, amplified by disease and sometimes spasticity, and can often be found in lower motor neurone syndromes as well as upper. But there is one clinical scenario where I would argue it remains …
               
Click one of the above tabs to view related content.